Medical Doctor

Phoenix Assurance Pvt Ltd; Thane; On-site; INR 335,000 - 558,000; Full time

Job summary

Phoenix Assurance Pvt. Ltd. is hiring Health Claim Adjudicators for its Thane office.

Candidates with BHMS/BAMS/MBBS and at least 1 year of health claim processing experience are invited to apply. The role is full-time and office-based, with shifts supporting coverage across mornings and evenings. Selected professionals will review claims, examine medical records, and verify documentation while adhering to SOPs.

Qualifications

• Must be BHMS / BAMS / MBBS.
• Minimum 1 year of relevant experience in health insurance claims, medical claim processing, adjudication, investigation, or medical assessment.
• Good medical knowledge and document-review skills.
• Strong analytical skills and attention to detail.
• Comfortable working in a target-driven environment.

Responsibilities

• Review and assess health insurance claims.
• Examine medical records, hospital bills, discharge summaries, and investigation reports.
• Verify medical necessity, treatment details, and claim documentation.
• Identify discrepancies, inconsistencies, and potential fraud indicators.
• Follow company SOPs and maintain accuracy, quality, and turnaround time (TAT).

Skills

Medical knowledge

Document review

Analytical skills

Education

BHMS / BAMS / MBBS

Job description

Hiring: Health Claim Adjudicator – Doctors (BHMS/BAMS/MBBS)

Company: Phoenix Assurance Pvt. Ltd. Job Location: Thane West, Ghodbunder Road, Maharashtra Salary: ₹30,000 – ₹50,000 per month Experience: Minimum 1 year Qualification: BHMS / BAMS / MBBS Job Type: Full-time | Work From Office

Job Description

Phoenix Assurance Pvt. Ltd. is hiring 35 Health Claim Adjudicators for a leading health insurance company at its Thane Head Office.

Key Responsibilities

• Review and assess health insurance claims.
• Examine medical records, hospital bills, discharge summaries, and investigation reports.
• Verify medical necessity, treatment details, and claim documentation.
• Identify discrepancies, inconsistencies, and potential fraud indicators.
• Follow company SOPs and maintain accuracy, quality, and turnaround time (TAT).

Eligibility Criteria

• Must be BHMS / BAMS / MBBS qualified.
• Minimum 1 year of relevant experience in health insurance claims, medical claim processing, adjudication, investigation, or medical assessment.
• Good medical knowledge and document-review skills.
• Strong analytical skills and attention to detail.
• Comfortable working in a target-driven environment.

Vacancies & Shift Timings

1. Cashless Claim Adjudicator – 25 Positions

   Rotational shifts between 7:00 AM and 12:00 AM. Any 9-hour shift.

2. Reimbursement Claim Adjudicator – 10 Positions

   Fixed shift: 9:30 AM to 7:00 PM.

Salary & Training

• Monthly salary: ₹30,000 to ₹50,000, based on experience and interview performance.
• Initial training: 7 working days (unpaid).
• Employment on the rolls of Phoenix Assurance Pvt. Ltd.

Work Location

G Corp Tech Park, Ghodbunder Road, Kasarvadavali, Thane West, Maharashtra – 400615.