25 Sep
|
EXL Service
|
Uttar Pradesh
25 Sep
EXL Service
Uttar Pradesh
Job Description: We are seeking a detail-oriented ACAS Tester with experience in US Healthcare Claims Adjudication, Claims Testing, and Payment Integrity Validation . The candidate will be responsible for validating claim processing outcomes, testing business rules, analyzing claim adjudication results, and ensuring compliance with healthcare policies and client requirements.
- Responsibilities: Perform end-to-end testing of healthcare claims processed through the ACAS platform.
- Validate claim adjudication outcomes, pricing logic, payment calculations, and benefit application.
- Execute test cases for overpayment recovery, refund processing, and claims rework workflows.
- Validate payment integrity edits and ensure accurate implementation of business requirements.
- Analyze test results, identify defects, document findings, and coordinate with development teams for resolution.
- Perform regression, integration, system, and user acceptance testing (UAT).
- Review claims data and validate member, provider, and claim attributes.
- Support release validation, production verification, and post-implementation testing activities.
- Collaborate with business stakeholders to understand requirements and create comprehensive test scenarios.
- Prepare test plans, test cases, traceability matrices, and test execution reports.
- Qualifications: Bachelor's Degree in Computer Science, Information Technology, Healthcare Management, or related field.
Relevant experience in US Healthcare Claims Testing and ACAS platform validation
📌 Assistant Manager (Uttar Pradesh)
🏢 EXL Service
📍 Uttar Pradesh