Skill required: Claims Appeals - Claims Administration
Designation: Health Admin Services Analyst
Qualifications:Any Graduation
Years of Experience:3 to 5 years
About Accenture
Accenture is a global qualified services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song— all powered by the world’s largest network of Advanced Technology and Intelligent Operations centers. Our 784,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com
What would you do? • • Experience supporting audits and client reviews.
• • Process transition and training experience.





• You will be a part of the Healthcare Claims team which is responsible for the administration of health claims This team is involved in core claim processing such as registering claims editing verification claims evaluation and examination litigation

• 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? • Primary skill - Claims Administration - P1
• • Graduate degree.
• • 4 to 6 years of Appeals and Grievance experience.
• • Subject Matter Expertise in Appeals (Commercial and or Medicare
Roles and Responsibilities: • •• Resolve complex case escalations.
• • Support regulations, compliance, and policy interpretation.
• • Conduct quality reviews and calibration sessions.
• • Deliver process training and refreshers.
• • Drive process improvement initiatives.
• • Support IDR and Correspondence workflows.
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📌 Health Admin Services Analyst (Navi Mumbai)
🏢 Accenture
📍 Navi Mumbai