Team Lead- Claims Adjudication

2 weeks ago


Chennai, Tamil Nadu, India Firstsource Full time ₹ 9,00,000 - ₹ 12,00,000 per year

Job description

Team Executive - Claims Adjudication

Location : Chennai, Navalur

Roles & Responsibilities:

  • In-depth Knowledge and Experience in the US Health Care Payer System.
  • 4 - 9 years of experience in Claims Adjudication. With over 1 year of experience as a on paper Team leader
  • Proven track record in managing processes, streamlining workflows and excellent people management skills.
  • Need to be a people centric manager who could articulate the employee challenges to the management as well as motivate the team towards desired project goals.
  • Circulate quality dashboards at agreed periodic intervals to all relevant stake holders
  • Adhering to various regulatory and compliance practices.
  • Maintaining and Ownership of reports both internal as well as for the clients.
  • Presenting the data and provide deep insights about the process to the clients as well as Internal Management.
  • Managing and co- ordinating training programs.
  • Excellent in Coaching and providing feedback to the team.
  • Take necessary HR actions as part of the Performance Improvement Process

Key Performance Indicators

  • Ensuring that the key Service Level Agreements are met consistently without any exceptions.
  • Leverage all Operational metrices to ensure that the Revenue and Profitability targets are met and exceeded .
  • Work in tandem with all Business functions to ensure smooth business process.
  • Retention of key team members

Interested Candidates share your CV - /

Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or



  • Chennai, Tamil Nadu, India CIEL HR Full time

    Role BPO Health Claims Adjudication AssociateExperience Range 1 to 3 yearLocation DLF - Chennai Work From Office Shift Timing - US Central time 6 00 PM to 4 00 AM IST Transport - Only DROPNotice Period Immediate - 15 days for BPO Health Claims Adjudication Associate Roles and Responsibilities Required computer skills must have experience with data...


  • Chennai, Tamil Nadu, India beBeeClaimsAdjudication Full time ₹ 30,00,000 - ₹ 70,00,000

    Health Claims Adjudication SpecialistWe are seeking a skilled Health Claims Adjudication Specialist to join our organization. The ideal candidate will have 1-3 years of experience in health claims adjudication and possess excellent computer skills, including data entry and word processing.The key responsibilities of this role include:Handling various...


  • Chennai, Tamil Nadu, India NTT DATA, Inc. Full time US$ 40,000 - US$ 80,000 per year

    Roles and Responsibilities:Process Adjudication claims and resolve for payment and DenialsKnowledge in handling authorization, COB, duplicate, pricing, and the corrected claims processKnowledge of healthcare insurance policy concepts, including in-network, out-of-network providers, deductible, coinsurance, co-pay, out-of-pocket, maximum inside limits, and...


  • Chennai, Tamil Nadu, India NTT DATA, Inc. Full time ₹ 8,00,000 - ₹ 12,00,000 per year

    Greetings from NTT DATA,Roles and Responsibilities:Process Adjudication claims and resolve for payment and DenialsKnowledge in handling authorization, COB, duplicate, pricing and corrected claims processKnowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum...


  • Chennai, Tamil Nadu, India NTT DATA, Inc. Full time ₹ 1,04,000 - ₹ 1,30,878 per year

    Roles and Responsibilities:Process Adjudication claims and resolve for payment and DenialsKnowledge in handling authorization, COB, duplicate, pricing and corrected claims processKnowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and...


  • Chennai, Tamil Nadu, India Firstsource Full time ₹ 15,00,000 - ₹ 28,00,000 per year

    We are hiring Claims Adjudication ExperiencedHR Recruiter: Sam HRJob Location: Firstsource Solution Limited,5th floor ETA Techno Park, Block 4, 33 OMR Navallur, Chennai, Tamil Nadu Landmark near Vivira Mall.Shift Details: Night shift / Flexible to work in any shift and timingCab Boundary Limit: Up to 30 km (One way drop cab)Minimum Eligibility:Minimum 1 year...


  • Chennai, Tamil Nadu, India Firstsource Full time US$ 40,000 - US$ 80,000 per year

    We are Claims Adjudication ExperiencedHR Recruiter (Reference) : Sam JeshurinJob Location:Firstsource Solution Limited,5th floor ETA Techno Park, Block 4, 33 OMR Navalur, Chennai, Tamil Nadu Landmark: Near Vivira Mall.Shift Details:Night shift / Flexible to work in any shift and timingCab Boundary Limit: Up to 30 km (One way drop cab)Requirements:Minimum 1...


  • Chennai, Tamil Nadu, India Firstsource Full time ₹ 15,00,000 - ₹ 28,00,000 per year

    Greetings from Firstsource HR Spoc - MadhubalaLooking for US Healthcare Professionals Experience : 1- 4 YearsProcess : Non Voice - Skill : Claims Adjudication US Healthcare experience.Work location : Navalur ChennaiRequired : Minimum 1year Experience in US Healthcare BPO. Claims AdjudicationEducation - Any Graduates and Diploma(10+3)can apply.Immediate...


  • Chennai, Tamil Nadu, India beBeeHealthClaimsSpecialist Full time ₹ 9,00,000 - ₹ 12,00,000

    Health Claims Specialist Job DescriptionWe are seeking a detail-oriented and experienced professional to join our team as a Health Claims Specialist.The ideal candidate will be responsible for accurately processing and adjudicating medical claims in accordance with industry regulation, contractual agreements, and company policies.Key Responsibilities:Review...


  • Chennai, Tamil Nadu, India beBeeClaims Full time ₹ 6,00,000 - ₹ 10,00,000

    Job Summary:A skilled Claims Examiner is needed to accurately process and adjudicate medical claims in accordance with established policies, industry regulations, and contractual agreements.The ideal candidate will be responsible for ensuring timely processing of claims for healthcare services rendered, maintaining high standards of accuracy and efficiency...