Job 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:
We are seeking a detail-oriented and experienced Claims Adjudicator to join our non-voice BPO team. The ideal candidate will be responsible for reviewing, processing, and adjudicating healthcare/insurance claims in accordance with policy guidelines, while ensuring accuracy and compliance with industry standards.
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 Company:
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.