Claims Adjudicator

4 days ago


Chennai, India Tata Consultancy Services Full time

Job Title: Claims Adjudication Processor Job Summary : We are seeking a detail-oriented and analytical Claims Adjudication Processor to join our team. The ideal candidate will be responsible for reviewing, processing, and resolving pending healthcare claims while ensuring compliance with federal, government, and commercial health plan policies. This role requires a strong understanding of medical claims processing, payer regulations, and industry guidelines. Job Location-Chennai Interested can please share CV on Key Responsibilities: · Process and adjudicate healthcare claims efficiently and accurately, ensuring compliance with company policies and industry standards. · Investigate and resolve pended claims by reviewing documentation, identifying discrepancies, and taking necessary actions. · Interpret and apply policies related to government (Medicare/Medicaid), federal, and commercial health plans. · Research and analyze claims issues, including coding errors, missing information, and policy limitations, to determine appropriate resolutions. · Work with internal teams, providers, and payers to ensure timely claim resolution. · Maintain and update claims processing systems with accurate information. · Ensure claims meet regulatory, contractual, and compliance requirements. · Identify trends and escalate issues to management as needed. · Meet quality and productivity standards set by the organization.


  • Claims Adjudicator

    6 days ago


    Chennai, India Tata Consultancy Services Full time

    Job Title: Claims Adjudication ProcessorJob Summary: We are seeking a detail-oriented and analytical Claims Adjudication Processor to join our team. The ideal candidate will be responsible for reviewing, processing, and resolving pending healthcare claims while ensuring compliance with federal, government, and commercial health plan policies. This role...

  • Claims Adjudicator

    6 days ago


    Chennai, India Tata Consultancy Services Full time

    Job Title: Claims Adjudication ProcessorJob Summary: We are seeking a detail-oriented and analytical Claims Adjudication Processor to join our team. The ideal candidate will be responsible for reviewing, processing, and resolving pending healthcare claims while ensuring compliance with federal, government, and commercial health plan policies. This role...

  • Claims Adjudicator

    5 days ago


    Chennai, India Tata Consultancy Services Full time

    Job Title: Claims Adjudication Processor Job Summary : We are seeking a detail-oriented and analytical Claims Adjudication Processor to join our team. The ideal candidate will be responsible for reviewing, processing, and resolving pending healthcare claims while ensuring compliance with federal, government, and commercial health plan policies. This role...

  • Claims Adjudicator

    6 days ago


    Chennai, India Tata Consultancy Services Full time

    Job Title: Claims Adjudication ProcessorJob Summary: We are seeking a detail-oriented and analytical Claims Adjudication Processor to join our team. The ideal candidate will be responsible for reviewing, processing, and resolving pending healthcare claims while ensuring compliance with federal, government, and commercial health plan policies. This role...

  • Claims Adjudicator

    4 days ago


    Chennai, India Tata Consultancy Services Full time

    Job Title: Claims Adjudication ProcessorJob Summary: We are seeking a detail-oriented and analytical Claims Adjudication Processor to join our team. The ideal candidate will be responsible for reviewing, processing, and resolving pending healthcare claims while ensuring compliance with federal, government, and commercial health plan policies. This role...


  • Chennai, Tamil Nadu, India CIEL HR Full time

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  • Chennai, Tamil Nadu, India Access Healthcare Full time US$ 2,40,000 - US$ 3,60,000 per year

    Greetings from Access HealthcareWe have openings for Claims Adjudication in Chennai location, below is the requirement.Minimum 1 year experience is required in claims adjudication .work from Office/ WFH is applibable to outsation candidates.Immediate joiners preferred.WFH also available , only for out-of-town candidates.Shift : Both Day /Night shift...


  • Perungalathur, Chennai, Tamil Nadu, India Omega Healthcare Management Services Pvt. Ltd.. Full time

    **Job description** - **2 to 4 Years **of experience in **US Healthcare Claims adjudication**: - Must have good communication skills - Should be ready to work in Night shift (US Shift) - Should be ready to Work from Office whenever RTO resumes - Must have all the proper documents related to Education, Govt IDs and previous organizations **Job Types**:...


  • Chennai, Tamil Nadu, India Firstsource Full time ₹ 5,40,000 - ₹ 10,80,000 per year

    Greetings from Firstsource HR Spoc - MadhubalaLooking for US Healthcare Professionals Experience : 1- 4 YearsProcess : Non Voice - Skill : Claims Adjudication US Healthcare experience.Work location : Navalur ChennaiRequired : Minimum 1year Experience in US Healthcare BPO. Claims AdjudicationEducation - Any Graduates and Diploma(10+3)can apply.Immediate...


  • Chennai, India Tata Consultancy Services Full time

    TCS is hiring for Claims Adjudication Processor role!!!Location - ChennaiJob Summary: We are seeking a detail-oriented and analytical Claims Adjudication Processor to join our team. The ideal candidate will be responsible for reviewing, processing, and resolving pending healthcare claims while ensuring compliance with federal, government, and commercial...