157 Senior Investigator jobs in India
Clinical Investigator
Posted today
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Job Description
Positions in this function are responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. May include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits data. Investigate and pursue recoveries and payables on subrogation claims and file management. Process recovery on claims. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May conduct contestable investigations to review medical history. May monitor large claims including transplant cases. Work is frequently completed without established procedures
**Primary Responsibilities:**
+ Prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT/diagnosis codes, CMC guideline along with referring to client specific guidelines and member policies
+ Adherence to state and federal compliance policies and contract compliance
+ Assist the prospective team with special projects and reporting
+ May act as a resource for others
+ May coordinate others' activities
+ Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
**Required Qualifications:**
+ Medical degree - BHMS/BAMS/BUMS/BPT/MPT
+ B.Sc Nursing and BDS with 1+ years of corporate experience
+ 6+ months of experience (Fresher's in BPT / MPT / BHMS/ BAMS/ BUMS can also apply)
+ Extensive work experience within own function
+ Proven attention to detail & quality focused
+ Proven good analytical & comprehension skills
+ Proven ability to work independently
**Preferred Qualifications:**
+ Claims processing experience
+ Health Insurance knowledge, managed care experience
+ Knowledge of US Healthcare and coding
+ Medical record familiarity
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
Clinical Investigator
Posted today
Job Viewed
Job Description
Positions in this function are responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. May include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits data. Investigate and pursue recoveries and payables on subrogation claims and file management. Process recovery on claims. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May conduct contestable investigations to review medical history. May monitor large claims including transplant cases.
**Primary Responsibilities:**
+ Prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT/diagnosis codes, CMC guideline along with referring to client specific guidelines and member policies
+ Adherence to state and federal compliance policies and contract compliance
+ Assist the prospective team with special projects and reporting
+ Work is frequently completed without established procedures
+ Works independently
+ May act as a resource for others
+ May coordinate others' activities
+ Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
**Required Qualifications:**
+ Medical degree - BHMS/BAMS/BUMS/BPT/MPT
+ B.Sc Nursing and BDS with 1 year of corporate experience
+ Experience Range - 06 months - 3 years (Fresher's in BPT / MPT / BHMS/ BAMS/ BUMS can also apply)
+ Extensive work experience within own function.
+ Proven attention to detail & Quality focused
+ Proven good Analytical & comprehension skills
**Preferred Qualifications:**
+ Claims processing experience
+ Health Insurance knowledge, managed care experience
+ Knowledge of US Healthcare and coding
+ Medical record familiarity
#NTClinical
Principal Investigator
Posted 3 days ago
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Job Description
We are seeking exceptional Principal Investigators (PIs) to lead cutting-edge research in areas such as Computer Vision, Machine Learning, AI, and Computational Imaging . These roles are ideal for individuals with a strong academic background who also understand how to navigate the constraints and opportunities of applied, product-focused research.
We're looking for translational thinkers —individuals who can bridge the gap between theoretical research and real-world applications, developing both publishable research and functional prototypes . The ideal candidate will have deep expertise in their domain and be excited by the opportunity to work in a high-impact, cross-disciplinary environment.
Required Background
- PhD in Computer Vision, Machine Learning, AI, or Computational Imaging
- 5+ years of post-PhD research or applied research experience (can include industry, academia, or research labs)
- 5+ years of postdoctoral or industry research experience.
- Demonstrated ability to lead high impact applied research projects or labs
Desirable Traits
- Strong publication record in top-tier conferences
- Proven contributions to relevant ML projects in the space
- Proven ability to bridge theory and practice, producing both prototypes and papers
- Entrepreneurial mindset, excited by innovation and product impact
- Experience mentoring PhD students, researchers, or junior engineers
- Excellent communication skills; able to articulate technical ideas to non-experts
Soft Skills & Traits
- Translation thinker: can turn vague or creative ideas into concrete technical plans
- Highly collaborative with a clear, structured communication style
- Innovative and self-motivated, capable of owning research direction and execution
Fraud Investigator
Posted today
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Job Description
Desired Candidate Profile
Experience required- Need minimum 2 years of experience in international fraud ,Aml
Salary- upto LPA+ incentives
Shift- US
Location- Hebbal
call
call
call
call
Roles and Responsibilities
Main responsibilities
Conduct investigations into allegations of complex fraud using specialist knowledge in interviewing techniques, document analysis and exhibit handling etc.
Investigate and research cases and potentially suspicious situations; efficiently arriving at sound risk-based conclusions in order to minimize fraud losses.
Prepare regulatory and investigative reports (SARs).
Identify fraud trends and communicate observations to management.
Identify internal procedural violations and recommend actions to mitigate reoccurrence
Demonstrate sound judgment and decision making in the context of regulatory requirements, Bank policies, and industry best practices.
- Demonstrated Fraud management expertise and support through every step of improving anti-fraud strategy including analyzing current processes, implementing new processes, and constantly refining and improving the approach to fraud detection and prevention.
- Demonstrated knowledge of the associated processes, procedures, controls, and documentation associated with Fraud reviews
Principal Investigator
Posted today
Job Viewed
Job Description
We are seeking exceptional
Principal Investigators (PIs)
to lead cutting-edge research in areas such as
Computer Vision, Machine Learning, AI, and Computational Imaging
. These roles are ideal for individuals with a strong academic background who also understand how to navigate the constraints and opportunities of applied, product-focused research.
We're looking for
translational thinkers
—individuals who can bridge the gap between theoretical research and real-world applications, developing both
publishable research and functional prototypes
. The ideal candidate will have deep expertise in their domain and be excited by the opportunity to work in a high-impact, cross-disciplinary environment.
Required Background
- PhD in Computer Vision, Machine Learning, AI, or Computational Imaging
- 5+ years of post-PhD research or applied research experience (can include industry, academia, or research labs)
- 5+ years of postdoctoral or industry research experience.
- Demonstrated ability to lead high impact applied research projects or labs
Desirable Traits
- Strong publication record in top-tier conferences
- Proven contributions to relevant ML projects in the space
- Proven ability to bridge theory and practice, producing both prototypes and papers
- Entrepreneurial mindset, excited by innovation and product impact
- Experience mentoring PhD students, researchers, or junior engineers
- Excellent communication skills; able to articulate technical ideas to non-experts
Soft Skills & Traits
- Translation thinker: can turn vague or creative ideas into concrete technical plans
- Highly collaborative with a clear, structured communication style
- Innovative and self-motivated, capable of owning research direction and execution
Field Investigator
Posted today
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Job Description
Responsibilities:
Investigate assigned insurance claims, including property damage, bodily injury, and liability. This may involve visiting accident scenes, interviewing witnesses and policyholders, and collecting evidence.
Analyze policy details and coverage to determine if a claim is valid and to what extent.
Assess the value of a claim and negotiate settlements with claimants.
Manage multiple claims simultaneously and meet deadlines.
Prepare comprehensive reports documenting investigation findings and claim resolution.
Maintain accurate and detailed records of all claim activities.
Identify and prevent potential fraudulent claims.
Communicate effectively with claimants, policyholders, and other stakeholders, including repair shops and medical providers.
Responsible for KYC Verification, Address Verification, Profile Verification, Documents Pickup, DC Verification, Cashless and Reimbursement, Spot Claim verification, Discrete verification, Background checks,
Location: Ranchi,Dumka,Deoghar,Godda,Sahibganj,Pakur,Bokaro,Dhanbad,Hazaribagh
Principal Investigator
Posted today
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Job Description
Company Description
C.L.A.I.M.S. Private Limited is a Clinical Research Organisation specializing in safety and efficacy testing services for cosmeceutical, dermaceutical, nutraceutical, and OTC products, particularly in the areas of skin, hair, and body care. Backed by consumer insights and extensive experience, the company excels in identifying the right measurement parameters based on product formulations. C.L.A.I.M.S. is recognized for its professional and ethical approach in managing and conducting clinical trials. For inquiries, contact
Role Description
This is a part time on-site role for a Principal Investigator, located in Andheri, Mumbai. The Principal Investigator will be reuqired to attend the site on all working days in a week, The Principal Investigator will be responsible for overseeing and managing clinical trials, ensuring adherence to regulatory guidelines, and maintaining high standards of ethical conduct. The role involves designing study protocols, recruiting and supervising study participants, performing Clinical Grading, and Additionally, the Principal Investigator will coordinate with cross-functional teams, including sponsors, clinicians, and regulatory authorities, to ensure the successful execution of trials.
Qualifications
- M.D. Dermatology
- Freshers are eligible to apply
- Strong understanding of clinical trial design and regulatory requirements preferred
- Experience in cosmeceutical, dermaceutical, or related fields
- Leadership abilities and experience in team management
- Proficient in problem-solving and decision-making
- Ability to manage multiple projects and meet deadlines
- Excellent written and verbal communication skills
- Detail-oriented with strong organizational skills
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Risk Investigator
Posted today
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Job Description
About PhonePe Limited:
Headquartered in India, its flagship product, the PhonePe digital payments app, was launched in Aug 2016. As of April 2025, PhonePe has over 60 Crore (600 Million) registered users and a digital payments acceptance network spread across over 4 Crore (40+ million) merchants. PhonePe also processes over 33 Crore (330+ Million) transactions daily with an Annualized Total Payment Value (TPV) of over INR 150 lakh crore.
PhonePe's portfolio of businesses includes the distribution of financial products (Insurance, Lending, and Wealth) as well as new consumer tech businesses (Pincode - hyperlocal e-commerce and Indus AppStore Localized App Store for the Android ecosystem) in India, which are aligned with the company's vision to offer every Indian an equal opportunity to accelerate their progress by unlocking the flow of money and access to services.
Culture:
At PhonePe, we go the extra mile to make sure you can bring your best self to work, Everyday. And that starts with creating the right environment for you. We empower people and trust them to do the right thing. Here, you own your work from start to finish, right from day one. PhonePe-rs solve complex problems and execute quickly; often building frameworks from scratch. If you're excited by the idea of building platforms that touch millions, ideating with some of the best minds in the country and executing on your dreams with purpose and speed, join us
Position: Risk Investigator - AML & Sanctions
About the Team: -
The PhonePe AML & Sanctions Operations is a part of the Trust & Safety team which is a high impact team whose goal is to mitigate risk and improve the trust and safety for various PhonePe products. We are focused on safeguarding our platform from potential ML / TF risks by implementing various controls and timely actions. If your dream is to build processes and digital tools to better understand financial transactions and identify trends that would impact millions of customers, partnering with some of the best minds and executing on your dreams with purpose and speed, join us
Roles & Responsibilities:
Identify and research the patterns, trends and anomalies in complex transactional & customer data to detect, prevent, mitigate & report suspicious activity related to ML / TF
Monitoring and regulating high-risk activities for various PhonePe business verticals
Documentation of Ground of Suspicion (GOS) for suspicious users / transactions and filing STR / SAR to the Financial Intelligence Unit - India (FIU-IND) as per RBI guidelines along with record maintenance
Utilize information from regulatory changes, new regulations, and internal policy changes to further identify new key risk areas
Analyze comparative data, prepare and present reports related to AML risk assessments, and monitor AML related issues and escalations
To suggest process improvements, identify automation opportunities to improve operational efficiencies on various business / products
Identify modules for operational improvements and collaborate with cross functional teams for implementation
Ability to understand and follow industry best practices for AML & Sanctions
Education & Preferred Qualifications:
Requirements include, but are not limited to:
Graduate Degree; MBA or other post graduate degree is a plus
3-5 years of relevant experience in Anti Money Laundering Investigations / Sanctions screening & Escalations
Any recognised AML certification would be an added advantage.
Good understanding of AML/CFT framework along with strong research and analytical skills
Experience in preparation and filling of regulatory reporting to RBI / FIU-IND etc.
Ability to work independently and to liaise with other departments and coordinate with various stakeholders.
Team player with excellent drafting and strong interpersonal skills along with verbal communication is a must.
Proficient in MS Office (Word/Excel/Powerpoint) and basic understanding of SQL would be a plus
PhonePe Full Time Employee Benefits
- Insurance Benefits - Medical Insurance, Critical Illness Insurance, Accidental Insurance, Life Insurance
- Wellness Program - Employee Assistance Program, Onsite Medical Center, Emergency Support System
- Parental Support - Maternity Benefit, Paternity Benefit Program, Adoption Assistance Program, Day-care Support Program
- Mobility Benefits - Relocation benefits, Transfer Support Policy, Travel Policy
- Retirement Benefits - Employee PF Contribution, Flexible PF Contribution, Gratuity, NPS, Leave Encashment
- Other Benefits - Higher Education Assistance, Car Lease, Mobile & Broadband Reimbursements, Salary Advance Policy
Working at PhonePe is a rewarding experience Great people, a work environment that thrives on creativity, the opportunity to take on roles beyond a defined job description are just some of the reasons you should work with us. Read more about PhonePe on our blog .
PhonePe Full Time Employee Benefits (Not applicable for Intern or Contract Roles)
- Insurance Benefits - Medical Insurance, Critical Illness Insurance, Accidental Insurance, Life Insurance
- Wellness Program - Employee Assistance Program, Onsite Medical Center, Emergency Support System
- Parental Support - Maternity Benefit, Paternity Benefit Program, Adoption Assistance Program, Day-care Support Program
- Mobility Benefits - Relocation benefits, Transfer Support Policy, Travel Policy
- Retirement Benefits - Employee PF Contribution, Flexible PF Contribution, Gratuity, NPS, Leave Encashment
- Other Benefits - Higher Education Assistance, Car Lease, Salary Advance Policy
Our inclusive culture promotes individual expression, creativity, innovation, and achievement and in turn helps us better understand and serve our customers. We see ourselves as a place for intellectual curiosity, ideas and debates, where diverse perspectives lead to deeper understanding and better quality results. PhonePe is an equal opportunity employer and is committed to treating all its employees and job applicants equally; regardless of gender, sexual preference, religion, race, color or disability. If you have a disability or special need that requires assistance or reasonable accommodation, during the application and hiring process, including support for the interview or onboarding process, please fill out this form.
Read more about PhonePe on our blog .
Field Investigator
Posted today
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Job Description
CANDIDATE MUST BE HAVING BIKE
THE WORK IS RELATING TO BACK GROUND VERIFICATION OF LOAN APPLICANT
WILLING TO TRAVEL IN THE FIELD AND MEETING PEOPLE
12TH PASS OR GRADUATE WILL DO
Job Type: Full-time
Pay: ₹8, ₹12,000.00 per month
Benefits:
- Provident Fund
Ability to commute/relocate:
- Berhampur, Orissa: Reliably commute or planning to relocate before starting work (Required)
Experience:
- INVESTIGATION: 1 year (Required)
Work Location: In person
Fraud Investigator
Posted today
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Job Description
Fraud Investigator - Transaction Monitoring & Compliance check.
Experience -1-4 years
Location -Bangalore
Shift - Night shift
contact -Ruhi