Healthcare Claims Examiner

4 days ago


Pune, Maharashtra, India beBeeClaims Full time ₹ 9,60,000 - ₹ 12,12,000

We are seeking a highly skilled Claims Examiner to join our team. This role involves reviewing and processing claims for accuracy and completeness.

The ideal candidate will have a strong understanding of US health insurance claims, including CMS-1500 and UB04 adjudication. They will also possess excellent analytical skills, attention to detail, and the ability to work independently as part of a team.

Key Responsibilities:

  • Review and process claims for accuracy and completeness
  • Analyze claims data to identify errors or inconsistencies
  • Making recommendations for payment based on established policies and procedures
  • Collaborate with team members to resolve complex claims issues
  • Meet productivity goals and quality standards

Requirements:

  • A degree in a related field (e.g., healthcare administration, business)
  • Experience in US health insurance claims processing (1-3 years)
  • Strong analytical and problem-solving skills
  • Excellent communication and interpersonal skills
  • Ability to work independently and collaboratively as part of a team
Benefits

We offer a dynamic work environment, opportunities for growth and development, and a competitive compensation package. If you're passionate about healthcare and have a strong desire to make a difference, we encourage you to apply.



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