▷ (Only 24h Left) Lead-Claims Adjudication-Thryve Digital Health LLP

22 hours ago


Chennai, India Thryve Digital Full time

Job Description

Role: Team Lead - Claims Adjudication

Position: Non-Technical

Skill: Claims Adjudication (US Healthcare Process)

Shift: 11:00 AM - 8:00 PM IST

Work Location: Chennai

Work Mode: Onsite (all 5 days work from office)

Venue: SEZ, Ramanujan IT City, 6th Floor Cambridge Tower, SH 49A, Tharamani, Chennai, Tamil Nadu 600113, India

Role Summary:

This job takes the lead in handling a team of 25-30 team members providing complex claims adjudication services typically as part of the Operations team. Claims adjudicator usually analyze, validate, update, process and adjudicate claims to meet customer requirements that adhere to Highmark standards and policies. Claims Adjudicators provide general support to maintain TAT, meet SLAs, performance and quality levels required by their customers. Mentor and motivate team members.

Essential Responsibilities:

- Adhere to organizational policies
- Handle a team of 20-25 associates
- Deliver SLAs and closely monitor team performance and risks
- Drive innovation within the team
- Process claims alongside the team to stay updated on business protocols
- Manage attrition and retention; talent retention focus
- Perform succession planning and early warning signal forecasting
- Oversee learning compliance (self and team)
- Create, maintain, and share dashboards with leadership
- Drive employee engagement and team-building activities

The experience we are looking to add to our team require:

- More than 8 years of experience in US Healthcare
- Bachelor's or Master's degree in any discipline
- Strong verbal and written communication skills
- Excellent analytical and interpersonal skills
- Exceptional people management skills

Good to Have:

- AHM or any equivalent certification
- Acquaintance with Six Sigma methodology and tools
- Business knowledge in Adjustments and Offset/Recovery


  • Thryve Digital

    2 weeks ago


    Chennai, Tamil Nadu, India Thryve Digital Health LLP Full time

    Thryve Digital Health LLP is a fast-growing global healthcare partner delivering strategic innovation and IT expertise to healthcare organizations. As a captive of a leading US-based healthcare conglomerate, Thryve brings unique insights into healthcare operations, delivering next-generation solutions that help our partners deliver superior consumer...

  • Thryve Digital

    2 weeks ago


    Chennai, India Thryve Digital Health LLP Full time

    Thryve Digital Health LLP is a fast-growing global healthcare partner delivering strategic innovation and IT expertise to healthcare organizations. As a captive of a leading US-based healthcare conglomerate, Thryve brings unique insights into healthcare operations, delivering next-generation solutions that help our partners deliver superior consumer...


  • Chennai, India Thryve Digital Full time

    Thryve Digital Health LLP is an emerging global healthcare partner that delivers strategic innovation, expertise, and flexibility to its healthcare partners. Being a US healthcare conglomerate captive, we have direct access to deeper insights that help us accelerate our learning process and keeps us ahead of the curve. Thryve delivers next-generation...

  • Thryve Digital

    2 weeks ago


    Chennai, India Thryve Digital Health LLP Full time

    Thryve Digital Health LLP is a leading global healthcare partner delivering strategic innovation and next-generation IT solutions to its clients. As a captive of a major US healthcare conglomerate, Thryve offers a deep understanding of the healthcare landscape, enabling superior outcomes through data-driven innovation.We value integrity, diversity, and...

  • Advisor - Claims Ba

    2 days ago


    Chennai, India Thryve Digital Full time

    Claims Business Analyst - Thryve Digital Health LLP is an emerging global healthcare partner that delivers strategic innovation, expertise, and flexibility to its healthcare partners. Being a US healthcare conglomerate captive, we have direct access to deeper insights that help us accelerate our learning process and keeps us ahead of the curve. Thryve...

  • Thryve Digital

    2 weeks ago


    Chennai, India Thryve Digital Health LLP Full time

    About Thryve : Thryve Digital Health LLP is an emerging global healthcare partner that delivers strategic innovation, expertise, and flexibility to its healthcare partners.Being a US healthcare conglomerate captive, we have direct access to deeper insights that help us accelerate our learning process and keeps us ahead of the curve.Thryve delivers...

  • Claim Adjudication

    9 hours ago


    Chennai, India TekWisen Software Pvt. Ltd Full time

    Position: BPO Claim Adjudication(US Healthcare) Experience: 1-4years Notice period: 0-45days Skills: Must have experience in Claims Adjudication Good Exposure on COB and HIPAA **Salary**: ₹100,000.00 - ₹300,000.00 per year **Benefits**: - Cell phone reimbursement - Health insurance - Provident Fund Schedule: - Night shift Supplemental pay...

  • Senior medical coder

    4 weeks ago


    Chennai, Tamil Nadu, India Thryve Digital Health LLP Full time

    Thryve Digital Health LLP is an emerging global healthcare partner that delivers strategic innovation, expertise, and flexibility to its healthcare partners. Being a US healthcare conglomerate captive, we have direct access to deeper insights that help us accelerate our learning process and keep us ahead of the curve. Thryve delivers next-generation...


  • Chennai, Tamil Nadu, India CIEL HR Full time

    Role BPO Health Claims Adjudication Associate Experience Range 1 to 3 year Location DLF - Chennai Work From Office Shift Timing - US Central time 6 00 PM to 4 00 AM IST Transport - Only DROP Notice Period Immediate - 15 days for BPO Health Claims Adjudication Associate Roles and Responsibilities Required computer skills must have...

  • Senior Analyst

    4 weeks ago


    Chennai, Tamil Nadu, India Thryve Digital Health LLP Full time

    Job Title: Senior Analyst - Clinical Documentation Improvement (CDI) Location: Chennai/Hyderabad Summary: The Senior Claims Processing Specialist is responsible for overseeing all aspects of charge creation and capture, ensuring accurate and compliant billing practices. This role also acts as liaison for clinical areas and revenue cycle (physicians,...