Skill required: Claims Appeals - Claims Administration

Designation: Health Admin Services Associate

Qualifications:Any Graduation

Years of
Experience:1 to 3 years

What would you do Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrow
Claims Appeals involves reviewing and processing appeals for denied insurance claims. This includes evaluating the reasons for denial, gathering additional information, and making decisions on the appeal. The goal is to ensure fair and accurate resolution of claims. Responsibilities include communicating with claimants, analyzing documentation, and adhering to regulatory guidelines. This role is essential for maintaining trust and satisfaction in the claims process.
Includes the administration of health, life, and property causality claims. Includes activities involved in core claim processing such as registering claims, editing verification,



claims evaluation, and examination litigation.

What are we looking for
Claims Analysis
Ability to work well in a team
Problem-solving skills
Ability to perform under pressure
Adaptable and versatile
Claims Processing

Roles and Responsibilities:
In this role you are required to solve routine problems, largely through precedent and referral to general guidelines
Your expected interactions are within your own team and direct supervisor
You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on current assignments
The decisions that you make would impact your own work
You will be an individual contributor as a part of a team, with a predetermined, focused scope of work
Please note that this role may require you to work in rotational shifts

Qualification Any Graduation

📌 Health Admin Services Associate Navi Mumbai (India)
🏢 Accenture
📍 India