Claim Adjudicator: TL/QA/SME: Indore

Job Title: Team Lead – Claims AdjudicationLocation: IndoreExperience: 5–8 years in US Healthcare Claims Adjudication with minimum 2+ years in a Team Lead roleKey Responsibilities:Supervise and manage a team of claims adjudicators ensuring daily targets and quality standards are met.Monitor team performance, allocate workload, and ensure timely processing...

Job Role: QA -Claim AdjudicationLocation: IndoreShifts: US ShiftBoth the way cab available5 Days working (Saturday & Sunday fixed off)Salary: 5.5-6 LPA + incentives + allowanceExperience: Minimum 4.6 years of experience in claims adjudication, with at least 1 year in a SME on papers.Key ResponsibilitiesAuditing Claims: Reviewing adjudicated claims to verify...

Open Position :Team Leader OperationsQuality SpecialistSubject Matter Expert (SME)Process Trainer3.6 Years of Experience in US Healthcare Claim Processing and Adjudication Senior Talent Acquisition Shiny Hari

Job Title: Team Lead Operations – Claims Adjudication (US Healthcare)Location: [Indore]Experience: Minimum 4.6 years in US Healthcare Claims Adjudication, including at least 1 year as SME (on papers)Role OverviewThe Team Leader – Claims Adjudication is responsible for supervising a team of claims processors/adjudicators to ensure accurate and timely...

Job Title: Quality Team Lead (QTL) – US Healthcare ClaimsExperience: 5+ years in Claims Adjudication, 3+ years in Quality AssuranceJob Description:We are seeking a skilled Quality Team Lead (QTL) with strong expertise in US Healthcare claims adjudication and Quality Assurance practices. The role involves leading quality audits, ensuring compliance,...

Key ResponsibilitiesMedical Review Claims Adjudication:Assess and validate medical claims based on clinical documentation and policy coverage.Interpret diagnostic reports, treatment plans, and prescriptions to determine claim eligibility.Coordinate with internal medical teams to ensure accuracy in claims decision-making.Customer Interaction...

We have urgent opening for Team Leader - Claim AdjudicationEXP-Min-4+ Years on experienceSalary-As per market standardShift-Night Shift5 days workingboth side cabPlease reach me on

Job Title: Specialist – Quality (US Healthcare Claims)Experience: 3.5+ years in US Healthcare Claims AdjudicationQualification: Any GraduateInterview - Walkin drive on Job Description:We are hiring a Quality Specialist with expertise in US Healthcare claims adjudication. The role involves conducting audits, ensuring compliance, identifying errors, and...

Minimum 4 + years of experience in claims adjudicationStrong understanding of US healthcare insurance, including eligibility, coding, benefits, and provider contracts.Familiarity with HIPAA, Medicare, Medicaid, and ACA regulations.Excellent communication and interpersonal skills.Proven ability to lead teams and manage performance.Analytical mindset with...

Responsibilities * Conduct thorough claims adjudication, processing, and review to ensure accuracy and compliance with regulatory requirements.* Manage claims from receipt to resolution, ensuring timely and efficient processing.* Collaborate with internal stakeholders to resolve complex claims issues and improve overall quality of service.* Maintain...