Job Description:We are seeking a motivated and experienced mediclaim field investigator to join our team. In this role, you will be responsible for investigating insurance claims related to medical treatments and procedures to determine their legitimacy and accuracy. You will conduct interviews with the claimant and witnesses, review medical and financial records, analyze data, and collaborate with other professionals to build a case against fraudulent claims. The ideal candidate should have a background in insurance, law enforcement, or a related field, as well as excellent analytical and communication skills.
- Investigate insurance claims related to medical treatments and procedures
Conduct interviews with the claimant and witnesses
- Review medical and financial records
Analyze data and collaborate with other professionals to build a case against fraudulent claims- Prepare detailed reports on investigation findings
Testify in court, if necessary
- Bachelor's degree in insurance, law enforcement, or a related field
At least 0-2 years of experience in a similar role
- Excellent analytical and communication skills
Ability to work independently and as part of a team- Attention to detail and the ability to think critically
Knowledge of medical terminology and procedures
- Proficiency in using technology and software programs
If you believe you have the required qualifications and experience, please submit your resume and cover letter to us. We look forward to hearing from you!
Job Types: Full-time, Permanent, Fresher
Benefits:
Schedule:
Supplemental Pay:
Ability to commute/relocate:
- Bhopal, Madhya Pradesh: Reliably commute or planning to relocate before starting work (Required)
Education:
- Higher Secondary(12th Pass) (Preferred)
Language:
License/Certification:
* Driving Licence (Preferred)
