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    • We are hiring Managerial role in Vidal Health Insurance TPA for Assistant Manager for Investigation dept.
    • Qualification-BHMS/BDS/BAMS/BUMS only Doctors will be…
    • View all Vidal Health Insurance TPA Private Limited jobs - Gurugram, Haryana jobs - Investigations Manager jobs in Gurugram, Haryana
    • Salary Search: Assistant Manager Investigation salaries
    • See popular questions & answers about Vidal Health Insurance TPA Private Limited
    • As a Follow up Doctor you have to consult the patient online, maintaining a good relation with the patients, taking regular follow ups, and providing good…
    • Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.
    • Join us to start Caring.
    • Job Title - Skin Counsellor/ Cosmetology Academy Counsellor for skin clinic *.
    • -Having Skin counselling experience of minimum 3+ Years in a renowned derma…
    • Salary Budget: Up to n25,000 CTC.
    • Location: Gurgaon, Sector 44, Plot No. 52, 3rd Floor.
    • As a Follow-Up Doctor, you will consult with patients online, maintain a…
    • Aesthetic Sales Doctor – Patient Counselling.
    • Location:* Sushant Lok 2, Near Galleria Market, Sector 28, DLF Phase IV, Gurugram, Haryana 122009.
    • Need a BAMS , BHMS or BUMS candidate for Ivf center.
    • Pay: ₹20,000.00 - ₹30,000.00 per month.
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    • BDS / BHMS / BAMS WITH COSMETOLOGY FELLOWSHIP MANDATORY.
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    • Job Description – Travelling Doctor (BAMS/BUMS/BHMS).
    • Company: Atiya Healthcare Pvt. Ltd.
    • Base Location:* Karol Bagh, Delhi.
    • Company:* Atiya Healthcare Pvt. Ltd.
    • Location:* Karol Bagh, Ghaziabad, Thane, Hyderabad, Bengaluru – 100% Travelling.
    • Experience:* Freshers to 3 years.
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Job Post Details

Assistant Manager Investigation
Vidal Health Insurance TPA Private Limited
·
5.0
Gurugram, Haryana
₹45,000 - ₹50,000 a month
Permanent, Full-time
Apply now

Job details

₹45,000 - ₹50,000 a month
Health insurance, Provident Fund
Permanent, Full-time
Gurugram, Haryana

Full job description

Job description

We are hiring Managerial role in Vidal Health Insurance TPA for Assistant Manager for Investigation dept

Only TPA or Health Insurance industry will be preferred.

Qualification-BHMS/BDS/BAMS/BUMS only Doctors will be preferred

Immediate Joiner also required.

Job Title: Assistnat Manager

Job Location: Gurgaon, Udhyog Vihar Phase 5

Role Overview

We are looking for an experienced professional to lead the Investigation function within a Health Insurance TPA environment. The role involves handling suspicious and high-value claims, identifying fraud patterns, and ensuring effective risk control.

Key Responsibilities

  • Lead investigation of suspicious and high-value health insurance claims
  • Identify fraud patterns (inflated billing, unnecessary hospitalization, document manipulation, etc.)
  • Conduct hospital audits and field investigations
  • Review medical records, bills, and claim documents for discrepancies
  • Coordinate with hospitals, insurers, and internal teams
  • Prepare investigation reports with findings and recommendations
  • Ensure compliance with IRDAI guidelines and internal processes
  • Track MIS, dashboards, and fraud trends
  • Manage and guide investigation team members

Key Requirements

  • Strong knowledge of health insurance claims (cashless & reimbursement)
  • Experience in fraud detection and hospital/provider investigations
  • Understanding of medical billing and documentation
  • Good analytical and report-writing skills
  • Strong stakeholder management skills

Qualifications

  • BHMS/BDS/BAMS/BUMS
  • 4-6 years of experience in TPA / Health Insurance investigations

Why Join Us

  • Opportunity to work in a critical risk control function
  • Exposure to complex and high-impact cases
  • Leadership role with team management responsibility

Interested candidate can connect on 9971006988 or meenakshi.singh@vidalhealth.com

Job Types: Full-time, Permanent

Pay: ₹45,000.00 - ₹50,000.00 per month

Benefits:

  • Health insurance
  • Provident Fund

Work Location: In person

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