Gallagher is hiring for US Healthcare Employee Benefit Claims
Position: Senior Analyst - Claims
Location: Gurugram and Pune
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Requirement :
Graduate
Ready to work in US shifts.
Eligibility Criteria:
- Minimum 3 years of experience in US Healthcare employee benefit claims
- Proven track record of successful claim resolutions and customer satisfaction.
- Solid knowledge of US Healthcare insurance regulations, policies, and procedures.
What You'll Do:
1. Hands on experience in approving EB claims like Dental, physiotherapy and other procedures
2. Confirm patient insurance coverage, deductibles, and eligibility against policy guidelines.
3. Calculate the correct reimbursement amount to issue payments or formally deny/pend invalid claims.
4. Perform Employee benefit determination and pay/deny decisioning per plan rules
5. Communicate with healthcare providers, patients, and internal departments to resolve discrepancies.
6. Follow federal/state regulations and guidelines to protect sensitive patient information (HIPAA). Mitigate organizational risk, maintaining compliance and reputation.
📌 Gallagher is hiring For US Healthcare Employee Benefit Claims (Pune)
🏢 Gallagher
📍 Pune
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