SME Operations

4 weeks ago


Coimbatore, Tamil Nadu, India Aegan Technologies Private Limited Full time
Job Description

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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