(Apply Now) Associate Iii

4 weeks ago


Chennai Tamil Nadu, India UST Full time

Job Title Claims Adjudication - Non-Voice BPO Process Experience 3 to 7 Years Location Chennai Process Type Non-Voice Back Office Domain Healthcare Insurance Shift 5 30pm to 2 30pm or 6 30pm to 3 30pm Job Summary We are seeking a detail-oriented and experienced Claims Adjudicator to join our non-voice BPO team The ideal candidate will be responsible for reviewing processing and adjudicating healthcare insurance claims in accordance with policy guidelines while ensuring accuracy and compliance with industry standards Key Responsibilities Review and adjudicate healthcare insurance claims as per standard operating procedures Interpret and validate claim data including member eligibility provider details and service coding Ensure timely and accurate processing of claims with high attention to detail Identify discrepancies or inconsistencies in submitted claims and initiate corrective actions Maintain productivity and quality benchmarks as per SLA Communicate effectively with internal teams for clarifications and escalations Adhere to compliance confidentiality and data protection protocols Required Skills 3-7 years of experience in Claims Adjudication within a BPO Healthcare environment Strong understanding of claims processing rules ICD CPT codes and insurance policies Hands-on experience with claims adjudication tools and healthcare systems Good analytical and problem-solving skills Ability to work in a fast-paced and target-driven environment Proficiency in MS Office Excel Word Strong attention to detail and accuracy Willingness to work in rotational shifts Skills Healthcare Call Center Call Center Operations Claims Processing About Company UST is a global digital transformation solutions provider For more than 20 years UST has worked side by side with the world s best companies to make a real impact through transformation Powered by technology inspired by people and led by purpose UST partners with their clients from design to operation With deep domain expertise and a future-proof philosophy UST embeds innovation and agility into their clients organizations With over 30 000 employees in 30 countries UST builds for boundless impact touching billions of lives in the process



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