- Manage a team of claims adjudicators to ensure timely and accurate processing of US healthcare claims.
- Conduct regular quality checks on processed claims to identify areas for improvement.
- Develop and implement process improvements to increase efficiency and reduce errors in claims processing.
- Collaborate with internal stakeholders to resolve complex claim issues.
Job Requirements :
- 5-9 years of experience in claims adjudication, processing, or related field.
- Robust knowledge of US healthcare regulations and industry standards (e.g., HIPAA).
- Proven track record in managing teams or projects involving high-volume data processing.