Health Claims Processor Location Hyderabad Remote Employment Type Full-time Contract Experience Required 1-3 years in health insurance claim processing or TPA operations About HealthPay HealthPay is a pioneering AI-driven platform transforming the health insurance claim process Our software automates claim adjudication with approximately great accuracy We are seeking skilled professionals to process health claims verify automated decisions and ensure every claim meets the highest standards of accuracy and compliance Role Summary As a Health Claims Processor you will leverage HealthPay s software to handle end-to-end health insurance claims While our application automates most steps your responsibility is to review each AI-processed claim identify and correct any errors and guarantee precise compliant outcomes for every processed claim Key Responsibilities Process health insurance claims using the HealthPay platform and closely review AI-generated outcomes Crosscheck all details in each claim including deductions coverage decisions and compliance with policy guidelines Identify and correct inaccuracies introduced by the application ensuring manual verification as needed Compare claim outcomes against hospital documents e g itemized bills discharge summaries policy documents Document corrections and maintain clear auditable records for every claim processed Communicate patterns of common errors to the engineering team to support ongoing product improvement Meet performance benchmarks on accuracy turnaround time and compliance standards Liaise with internal teams to resolve complex issues or escalate claims requiring special handling Requirements 1-3 years of health insurance claim processing experience TPA or hospital background preferred Strong understanding of medical and non-medical claim components policy documentation and insurance rules Proven ability to review structured data and supporting documents PDFs Excel High attention to detail and commitment to error-free claim handling Good documentation and record-keeping skills Effective communication abilities for internal collaboration Bachelor s degree in Life Sciences Pharmacy Nursing Healthcare Administration or similar preferred but not mandatory Comfort using digital tools and learning new software platforms What We Offer Opportunity to work with leading-edge AI technology in health insurance Fast-paced growth-focused environment Hybrid work from home flexibility Continuous learning and exposure to both healthtech and process automation Join Us If you have a background in health claims processing and are ready to partner with innovative technology to deliver seamless insurance experiences we invite you to apply At HealthPay you ll play a crucial role in ensuring every claim is fair timely and accurate Job Type Full-time Pay 200 000 00 - 400 000 00 per year Benefits Health insurance Provident Fund Schedule Monday to Friday Weekend availability Supplemental Pay Commission pay Performance bonus Application Question s How many years have you worked in health insurance claim processing or TPA adjudication workflows Can you explain what non-medical deductions and non-payables are in the context of health insurance What steps do you take to ensure the accuracy and completeness of your work How do you document your claim review process and communicate feedback to technical or operations teams Describe a situation where you had to meet strict turnaround times SLAs while ensuring high quality Work Location In person

📌 Health Claims Processor (Telangana)
🏢 HealthPay
📍 Telangana