Experience: 1-3 Years

Skills Required: Claims Adjudication, Claims Processing, Health Insurance, Payment Processing.

Roles and Responsibilities:
- Process Adjudication claims and resolve for payment and Denials - Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process
- Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations
- Ensuring accurate and timely completion of transactions to meet or exceed client SLAs - Organizing and completing tasks according to assigned priorities.
- Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
- Resolving complex situations following pre-established guidelines





Requirements:
- 1-3 years of experience in processing claims adjudication and adjustment process - Experience in skilled (HCFA), institutional (UB) claims (optional)
- Both under graduates and post graduates can apply

Job Types: Full-time, Permanent

Salary: ₹13,000.00 - ₹25,000.00 per month

Benefits:
- Paid time off

Schedule:
- Day shift
- Fixed shift

Supplemental pay types:
- Yearly bonus

Ability to commute/relocate:
- Delhi, Delhi: Reliably commute or planning to relocate before starting work (required)

Application Question(s):
- Do you have knowledge of insurance(health and general both)?

Experience:
- total work: 1 year (required)

📌 Healthcare & Operations Insurance Associate (Delhi)
🏢 Jain Capital Investment
📍 Delhi