Claim Investigator

Skillventory; Mumbai; On-site; INR 350,000 - 550,000; Full time

Job summary

Skillventory in Mumbai is seeking an Urgent Hiring Claim Investigator to support health insurance claims through field investigations and thorough verification of documents. The role requires travel to sites as needed and close coordination with hospitals, policyholders, TPAs, and other stakeholders.

Ideal candidates will have experience in health insurance claims/investigation, with preference for those with TPA or field investigation exposure, and strong communication and analytical skills.

Qualifications

• Experience in Health Insurance Claims / Claim Investigation.
• Experience in TPA, Insurance Investigation, or Field Investigation preferred.
• Strong communication and analytical skills.
• Willingness to travel for field visits.

Responsibilities

• Conduct field investigations related to health insurance claims.
• Verify claim-related documents, facts, and circumstances.
• Coordinate with hospitals, policyholders, TPAs, and other stakeholders.
• Prepare detailed investigation reports and ensure timely submission.

Skills

Health insurance claims

Claim investigation

Analytical skills

Communication skills

Travel for field visits

Job description

Urgent Hiring Claim Investigator | Health Insurance

We are hiring Claim Investigators for a leading Health Insurance company.

Locations: | Mumbai - Western line

Key Requirements:

• Experience in Health Insurance Claims / Claim Investigation
• Experience in TPA, Insurance Investigation, or Field Investigation preferred
• Strong communication and analytical skills
• Willingness to travel for field visits
• Local candidates preferred

Key Responsibilities:

• Conduct field investigations related to health insurance claims
• Verify claim-related documents, facts, and circumstances
• Coordinate with hospitals, policyholders, TPAs, and other stakeholders
• Prepare detailed investigation reports and ensure timely submission