Field Verification Officer – Health Claims Investigation

At Medisight Consultancy Services Private Limited, a trusted name in health insurance services, we are expanding our team in Raipur, Chhattisgarh. We're looking for a dedicated Field Verification Officer specializing in Health Claims Investigation to join us full-time on-site. This role offers a unique opportunity to contribute directly to fraud prevention in the health insurance sector, ensuring claims integrity while advancing your career in a dynamic environment. As part of our team, you will gain valuable experience in investigative analysis combined with fieldwork, working closely with healthcare providers and claimants. We offer competitive compensation of $4,000 per week, comprehensive benefits including health insurance, paid time off, and a retirement plan. Join us in Raipur to make a meaningful impact and grow professionally with Medisight Consultancy Services. Key Responsibilities Conduct thorough field investigations to verify the authenticity of health insurance claims and submitted documents, ensuring accuracy and compliance. Engage effectively with healthcare providers, claimants, and other stakeholders to collect detailed information and conduct interviews as needed. Document investigation findings meticulously, preparing comprehensive reports that support claims assessment and decision-making. Maintain strict confidentiality and adhere to all regulatory and company compliance standards throughout the investigative process. Utilize strong observation and analytical skills to identify discrepancies, inconsistencies, and potential indicators of fraudulent activity. Coordinate with internal teams including claims processing, legal, and compliance departments to ensure a holistic and accurate review of cases. Manage multiple investigations efficiently, prioritizing tasks to meet deadlines and uphold quality standards. What We're Looking For Required: Bachelor's degree in a relevant field such as healthcare, insurance, or business administration. Excellent verbal and written communication skills with strong attention to detail. Proven ability to conduct detailed verification and documentation processes accurately. Analytical thinking and problem-solving skills to detect and assess potential fraud. Prior experience in health claims processing, insurance investigation, or a related field is highly preferred. Familiarity with health insurance regulatory standards and compliance guidelines. Preferred: Experience working in a mid-sized company or dynamic health insurance environment. Knowledge of local healthcare providers and claim procedures in Chhattisgarh or India. Strong organizational skills and ability to multitask effectively. What We Offer Competitive salary of $4,000 per week with performance incentives. Comprehensive health insurance coverage for you and your family. Paid time off to support work-life balance and personal well-being. Retirement plan options to secure your financial future. Career development and advancement opportunities within a growing company. Supportive work environment with ongoing training and mentorship. Frequently Asked Questions What does a Field Verification Officer do in health claims? A Field Verification Officer investigates and verifies the authenticity of health insurance claims by conducting field visits, interviews, and document reviews to prevent fraud and ensure legitimate claims. Is prior experience mandatory for this role? While prior experience in claims processing or insurance investigation is preferred, candidates with strong analytical and communication skills and relevant educational background are encouraged to apply. What are the working hours and location? This is a full-time, on-site position based in Raipur, Chhattisgarh, India, with standard office hours and occasional field visits. What benefits are included? Benefits include health insurance, paid time off, and a retirement plan, along with career growth opportunities. How can I apply? Interested candidates sh