Sr. Claims Adjudicator (Facets)

Location: Infopark, Kochi,Kerala

Qualification: Any Degree

Experience: 2+ Years

Salary: 4.5 LPA- 6 LPA

FACETS Experience: Preferred / Added Advantage

Shift: 6:00 PM 3:00 AM

Requirements

- Solid understanding of US healthcare insurance and claims lifecycle.

- Good knowledge of eligibility, benefits, 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.

📌 Sr. Claims Adjudicator(Facets) (Kochi)
🏢 advenxa
📍 Kochi