Assistant Manager – Claims Adjudication

Location: Infopark, Kochi,Kerala*

Qualification: Any Degree

Experience: Minimum 5+ Years in Claims Adjudication and Minimum 1 year in Team handling*

Salary: ₹12–14 LPA

Shift: 6:00 PM – 3:00 AM , WFO

FACETS Experience: Minimum 1–1.5 years of hands-on experience is Mandatory

Requirements
Bachelor’s degree or equivalent qualification in any discipline.
Minimum 5+ years of experience in US healthcare claims adjudication, preferably with team-handling/leadership experience.
Minimum 1–1.5 years of hands-on experience in FACETS.
Proven experience in team leadership and people management within a healthcare claims/BPO setting.
Experience in attrition and shrinkage management.

Responsibilities
Lead and manage the team handling the end-to-end US healthcare claims lifecycle, including claim intake, adjudication, corrections, and appeals.
Provide technical guidance on FACETS-based claims processing, ensuring accurate and timely adjudication as per client and payer guidelines.
Oversee claims involving COB (Coordination of Perks), E/M (Evaluation & Management), AR,



and FTC processes, ensuring appropriate claim handling and resolution.
Review complex and escalated claims, including denials, appeals, and claim corrections, and provide appropriate resolution within defined TAT and quality standards.
Manage and monitor appeals processing, including denial analysis and resolution of complex claims related to Retraction, Cotiviti, and Nucleus denials.

Pay: ₹90,000.00 - ₹120,000.00 per year

Advantages
Commuter assistance
Health insurance
Provident Fund

Application Question(s):
Which application did you use for claims adjudication in your previous company?

How many employees have you directly managed as a Team Lead/Assistant Manager, and what is your hands-on experience in managing attrition and shrinkage?

Experience
FACETS Application: 1 year (Required)
US Claims Adjudication with Team Leading: 5 years (Required)

License/Certification:
Graduation (Required)

Work Location: In person

📌 Assistant Manager – Claims Adjudication Kochi
🏢 NSK Logistics
📍 Kochi