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
Robust 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, advantages, 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
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📍 Kochi