Sr. Claims Adjudicator

Location: Infopark, Kochi

Qualification: Any Degree

Experience: 2+ Years in Claims Adjudication

Salary: 5LPA- 7LPA

FACETS Experience: 1 to 2 years Preferred

Shift: 6:00 PM – 3:00 AM

Requirements

- Strong understanding of US healthcare insurance and claims lifecycle.
- Good knowledge of eligibility, perks, claims payment, denials, and adjustments.
- Experience with FACETS is a strong advantage.
- Strong analytical and problem-solving skills.
- Excellent attention to detail and accuracy.

Responsibilities

- Review and adjudicate US healthcare claims accurately and efficiently.
- Verify member eligibility, benefits, coverage, and claim information.
- Analyze claims to determine appropriate payment, denial, or adjustment.
- Review and validate claims against benefit plans, provider contracts, and payer guidelines.
- Identify and resolve claim discrepancies, exceptions, and processing errors.




- Handle claim adjustments, reprocessing, and corrections as required.
- Investigate denied or rejected claims and take appropriate action.
- Maintain accurate documentation of claim decisions and supporting information.

Pay: ₹40,000.00 - ₹55,000.00 per month

Benefits

- Commuter assistance
- Health insurance
- Provident Fund

Application Question(s):
- How many years of hands-on experience do you have in FACETS?

Education:
- Bachelor's (Required)

Experience:
- Claims Adjudication: 2 years (Required)
- FACET : 2 years (Required)

Language:
- English (Preferred)

License/Certification:
- Graduation (Required)

Shift availability:
- Night Shift (Required)

Work Location: In person

📌 Sr. Claims Adjudicator (Kochi)
🏢 NSK Logistics
📍 Kochi