Job Description

2 - 7 Years
14 Openings
Chennai

Role 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 UST

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.