
Claims Processor
3 days ago
You will be part of a team responsible for the administration of health claims. This involves core claim processing, including registering claims, editing and verification, claims evaluation, and examination and litigation.
In this role, you will deliver business solutions that support the healthcare claim function, leveraging knowledge of processes and systems to receive, edit, price, adjudicate, and process payments for claims.
Key Responsibilities:
- Utilize analytics, technology, domain, and healthcare industry expertise to enhance operational efficiency for healthcare clients.
- Deliver operational improvements for members.
- Solve routine problems through precedent and referral to general guidelines.
Interaction and Supervision:
- Your primary interaction is within your own team and your direct supervisor.
- You will be given detailed instructions on all tasks.
- The decisions you make impact your own work and are closely supervised.
- You will be an individual contributor as part of a team with a predetermined, narrow scope of work.
Shift Timings: 5:30 pm to 3:00 am
Preferred Candidate Profile:
Years of Experience: Freshers (Batch of 2023 & 2024)
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