
SME Operations
4 days ago
Job Description Subject Matter Expert (SME) Operations
Process: US Healthcare Claims Adjudication
Location: Coimbatore
Mode: Work from Office
Shift: Rotational
Interview Round: Walkin on (19th September& 20th September)
Education: Any Graduate
Experience Required
- Minimum 4 years of experience in US Healthcare Claims Adjudication
- In-depth process knowledge and strong communication skills
Role Overview
The Subject Matter Expert (SME) Operations will be responsible for:
- Acting as a process authority for the US healthcare claims adjudication process
- Supporting operations teams in resolving complex claim scenarios and escalations
- Ensuring process adherence, compliance, and accuracy in claim processing
- Mentoring and guiding team members to improve performance and quality
- Driving operational excellence by identifying gaps and implementing improvements
- Collaborating with stakeholders and cross-functional teams to meet business goals and client expectations
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