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

4 weeks 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

  • ▷ (15h Left) Business Analyst

    2 weeks ago

    Chennai, India Thryve Digital Health LLP Full time

    Greetings from Thryve Digital !! We are looking for a Business Analyst - US Healthcare (Claims) based in Chennai / Hyderabad. Essential Responsibilities - Conduct thorough analysis of business processes to identify areas for improvement and optimization. - Collaborate with cross-functional teams to gather and document business requirements. - Assist in the...

  • Trainee - Process Trainee

    1 week ago

    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...

  • Training Business Analyst

    3 days ago

    Chennai, India Thryve Digital Health LLP Full time

    Greetings from Thryve Digital !! We are looking for a Business Analyst - US Healthcare (Claims) based in Chennai / Hyderabad. Conduct thorough analysis of business processes to identify areas for improvement and optimization. Collaborate with cross-functional teams to gather and document business requirements. Assist in the development and implementation of...

  • Business Analyst

    2 weeks ago

    Chennai, India Thryve Digital Health LLP Full time

    Greetings from Thryve Digital !! We are looking for a Business Analyst - US Healthcare (Claims) based in Chennai / Hyderabad. Essential Responsibilities Conduct thorough analysis of business processes to identify areas for improvement and optimization. Collaborate with cross-functional teams to gather and document business requirements. Assist in the...

  • Business Analyst

    2 weeks ago

    Chennai, India Thryve Digital Health LLP Full time

    Greetings from Thryve Digital !! We are looking for a Business Analyst - US Healthcare (Claims) based in Chennai / Hyderabad. Essential Responsibilities Conduct thorough analysis of business processes to identify areas for improvement and optimization. Collaborate with cross-functional teams to gather and document business requirements. Assist in the...

  • ▷ [Immediate Start] Business Analyst

    2 days ago

    Chennai, India Thryve Digital Health LLP Full time

    Greetings from Thryve Digital !! We are looking for a Business Analyst - US Healthcare (Claims) based in Chennai / Hyderabad. Essential Responsibilities Conduct thorough analysis of business processes to identify areas for improvement and optimization. Collaborate with cross-functional teams to gather and document business requirements. Assist in the...

  • Business Analyst

    2 weeks ago

    Chennai, India Thryve Digital Health LLP Full time

    Greetings from Thryve Digital !!We are looking for a Business Analyst - US Healthcare (Claims) based in Chennai / Hyderabad.Essential ResponsibilitiesConduct thorough analysis of business processes to identify areas for improvement and optimization.Collaborate with cross-functional teams to gather and document business requirements.Assist in the development...

  • Business Analyst

    2 weeks ago

    Chennai, India Thryve Digital Health LLP Full time

    Greetings from Thryve Digital !!We are looking for a Business Analyst - US Healthcare (Claims) based in Chennai / Hyderabad.Essential ResponsibilitiesConduct thorough analysis of business processes to identify areas for improvement and optimization.Collaborate with cross-functional teams to gather and document business requirements.Assist in the development...

  • Business Analyst

    1 week ago

    Chennai, India Thryve Digital Health LLP Full time

    Greetings from Thryve Digital !!We are looking for a Business Analyst - US Healthcare (Claims) based in Chennai / Hyderabad.Essential Responsibilities- Conduct thorough analysis of business processes to identify areas for improvement and optimization.- Collaborate with cross-functional teams to gather and document business requirements.- Assist in the...

  • Business Analyst

    2 weeks ago

    Chennai, India Thryve Digital Health LLP Full time

    Greetings from Thryve Digital !!We are looking for a Business Analyst - US Healthcare (Claims) based in Chennai / Hyderabad.Essential Responsibilities- Conduct thorough analysis of business processes to identify areas for improvement and optimization.- Collaborate with cross-functional teams to gather and document business requirements.- Assist in the...