Team Leader

21 hours ago

Chennai, Tamil Nadu, India Tata Consultancy Services (TCS) Full time

TCS is hiring for Team Leader Role

Location - Chennai

Experience – 4 to 9 years

Shift - US Shift

Team leader : Experience in US Healthcare claims processing with hands-on adjudication exposure across payer policies and benefits

Roles & Responsibilities

  • Process and adjudicate healthcare claims efficiently and accurately, ensuring compliance with company policies and industry standards.

  • Investigate and resolve pended claims by reviewing documentation, identifying discrepancies, and taking necessary actions.

  • Interpret and apply policies related to government (Medicare/Medicaid), federal, and commercial health plans.

  • Research and analyze claims issues, including coding errors, missing information, and policy limitations, to determine appropriate resolutions.

  • Work with internal teams, providers, and payers to ensure timely claim resolution.

  • Maintain and update claims processing systems with accurate information.

  • Ensure claims meet regulatory, contractual, and compliance requirements.

  • Identify trends and escalate issues to management as needed.

  • Meet quality and productivity standards set by the organization.

Location

Chennai

Job Function

BUSINESS PROCESS SERVICES

Role

Executive

Job Id

386013

Desired Skills

Healthcare

Desired Candidate Profile

Qualifications : BACHELOR OF PHARMACY, BACHELOR OF SCIENCE ( B.Sc Degree ), MASTER OF PHARMACY, MASTER OF SCIENCE

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