Medical Doctor

Company Description Phoenix Assurance Pvt Ltd is a specialized insurance solutions and services provider committed to high-quality, reliable support with strong ethical standards. Established in July 2014, the company focuses on investigation and audit of insurance claims, including health, personal accident, and workers compensation, across multiple states in India. Phoenix Assurance also manages investigations for government health schemes such as PMJAY and supports manpower supply for government crop insurance programs like PMFBY. With a presence in more than nine states, over 1 lakh indemnity claim investigations, 17 lakh PMJAY investigations, 20+ clients, and a 600+ member team, the organization offers substantial scale and learning opportunities. The company has earned several prestigious awards, reflecting its performance and reputation in the insurance industry.
Role Description The Medical Doctor will work on-site in Ahmedabad in a full-time capacity, supporting medical claim investigation and assessment for a variety of insurance policies. Day-to-day responsibilities include reviewing medical records, validating diagnoses and treatments, and providing professional medical opinions to support claim decisions. The role involves collaborating with field investigators, claims teams, and external stakeholders to ensure accurate, fair, and timely evaluation of health-related claims. The Medical Doctor will help identify patterns in claims, contribute to strategies that minimize fraud and error, and support quality assurance processes for government and private health insurance schemes. The position may also include participation in training sessions, documentation of medical findings, and adherence to regulatory and company standards.
Qualifications

• Medical degree (MBBS or equivalent) from a recognized institution and valid medical registration with the appropriate council.
• Clinical experience in internal medicine, emergency medicine, or related specialties, preferably with exposure to health insurance or medical audit.
• Strong skills in medical record review, clinical documentation analysis, and evidence-based decision-making.
• Ability to communicate medical findings clearly in written reports and to collaborate effectively with non-medical stakeholders.
• High standards of professional ethics, integrity, and objectivity in claim assessment and patient-related information handling.
• Familiarity with Indian healthcare systems, government health schemes (e.g., PMJAY), and insurance processes is an advantage.
• Proficiency with basic computer applications, digital documentation, and secure handling of medical data.
• Strong attention to detail, time management skills, and the ability to work in a fast-paced, field-investigation–driven environment.