We are seeking a dedicated Claims Adjudication Specialist to join our team in Andhra Pradesh. The ideal candidate will have a strong background in healthcare and claims processing, with a focus on US healthcare systems. As a Claims Adjudication Specialist, you will be responsible for reviewing and processing claims to ensure compliance with company policies and regulatory requirements.

Key Responsibilities:
Review and adjudicate healthcare claims in accordance with established guidelines and policies.
Analyze claims data to identify discrepancies and ensure accurate processing.
Collaborate with healthcare providers and internal teams to resolve claim issues and inquiries.
Maintain up-to-date knowledge of healthcare regulations and industry standards.
Utilize Facets and other relevant systems to manage claims effectively.




Provide support and training to junior staff as needed.

Required Skills:
Strong understanding of claims adjudication processes and healthcare regulations.
Proficiency in using Facets and other claims management systems.
Excellent analytical and problem-solving skills.
Solid communication skills, both verbal and written.
Ability to work independently and as part of a team in a rapid-paced environment.

If you are passionate about healthcare and have the necessary skills and experience, we encourage you to apply for this exciting prospect to make a difference in the lives of patients and providers alike.

📌 Claims Adjudication Specialist Hyderabad
🏢 CONVERSE PLACEMENT SERVICES INDIA PRIVATE
📍 Hyderabad