Claims Processor

3 days ago


Chennai, Tamil Nadu, India beBeeInsurance Full time ₹ 8,00,000 - ₹ 14,00,000
Insurance Operations Associate

We are seeking a skilled professional to join our team in Chennai, India.

Job Description

The successful candidate will be responsible for processing claims and resolving payment and denial issues. They will also need to have knowledge of healthcare insurance policy concepts, including in-network and out-of-network providers, deductibles, coinsurance, copays, out-of-pocket maximums, and exclusions.

In addition to processing claims, the candidate will be responsible for ensuring accurate and timely completion of transactions to meet or exceed client SLAs. They will also need to develop and maintain a solid working knowledge of the healthcare insurance industry and all products, services, and processes performed by the team.

Responsibilities include resolving complex situations following pre-established guidelines and organizing and completing tasks according to assigned priorities.

Required Skills and Qualifications
  • 1-3 years of experience in processing claims adjudication and adjustment process
  • Experience of Facets is an added advantage
  • Experience in professional HCFA, institutional, UB claims
  • Undergraduates and postgraduates can apply
Benefits

The role offers a Monday-to-Friday schedule with shift timings that can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends based on business requirements.

About Us

We are a recognized leader in IT and business services, providing cloud, data, and applications solutions. We help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration, and global data centers.

We are committed to our clients' long-term success and creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.



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