Non Customer Service Healthcare Claims Adjudication Team Member-BPS

5 days ago


Chennai Mumbai Pune, India Hexaware Technologies Full time ₹ 6,00,000 - ₹ 12,00,000 per year

We are looking for a skilled professional to join our team as a Non Customer Service Healthcare Claims Adjudication Team Member-BPS in Hexaware Technologies Ltd. The ideal candidate will have a strong background in healthcare claims adjudication and excellent customer service skills.

Roles and Responsibility

  • Manage and process healthcare claims according to company policies and procedures.
  • Conduct thorough analysis of claims documents to determine claim validity and accuracy.
  • Collaborate with internal teams to resolve complex claims issues and ensure timely resolution.
  • Develop and maintain knowledge of industry regulations and guidelines related to healthcare claims.
  • Provide exceptional customer service to both internal and external customers.
  • Identify areas for process improvement and implement changes to increase efficiency and productivity.

Job Requirements

  • Minimum 2 years of experience in healthcare claims adjudication or a related field.
  • Strong understanding of healthcare insurance industry operations and regulations.
  • Excellent communication and problem-solving skills.
  • Ability to work in a fast-paced environment and meet deadlines.
  • Strong analytical and organizational skills.
  • Experience working with non-customer service teams is an asset.

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