Associate Iii

4 days ago

Chennai Tamil Nadu, India UST Global Full time

2 - 7 Years
- 14 Openings
- Chennai

**Role description**:
**Job Title: Claims Adjudication - Non-Voice BPO Process**

**Experience**:3 to 7 Years

**Location**:Chennai

**Process Type**:Non-Voice (Back Office)

**Domain**:Healthcare / Insurance

**Shift**:5.30pm to 2.30pm or 6.30pm to 3.30pm

**Job Summary**:
**Key Responsibilities**:

- Review and adjudicate healthcare/insurance claims as per standard operating procedures.
- Interpret and validate claim data including member eligibility, provider details, and service coding.
- Ensure timely and accurate processing of claims with high attention to detail.
- Identify discrepancies or inconsistencies in submitted claims and initiate corrective actions.
- Maintain productivity and quality benchmarks as per SLA.
- Communicate effectively with internal teams for clarifications and escalations.
- Adhere to compliance, confidentiality, and data protection protocols.

**Required Skills**:

- 3-7 years of experience in Claims Adjudication within a BPO/Healthcare environment.
- Strong understanding of claims processing rules, ICD/CPT codes, and insurance policies.
- Hands-on experience with claims adjudication tools and healthcare systems.
- Good analytical and problem-solving skills.
- Ability to work in a fast-paced and target-driven environment.
- Proficiency in MS Office (Excel, Word).
- Strong attention to detail and accuracy.
- Willingness to work in rotational shifts

**Skills**:
Healthcare,Call Center,Call Center Operations,Claims Processing

**About UST**:
UST is a global digital transformation solutions provider. For more than 20 years, UST has worked side by side with the world’s best companies to make a real impact through transformation. Powered by technology, inspired by people and led by purpose, UST partners with their clients from design to operation. With deep domain expertise and a future-proof philosophy, UST embeds innovation and agility into their clients’ organizations. With over 30,000 employees in 30 countries, UST builds for boundless impact—touching billions of lives in the process.

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