We are seeking a dedicated Claims Adjudication Specialist to join our team in Andhra Pradesh. The ideal candidate will have a solid background in claims processing and adjudication within the US healthcare system. This role is crucial for ensuring that claims are processed accurately and efficiently, adhering to all regulatory requirements and company policies.

Key Responsibilities:
Review and adjudicate claims submitted by healthcare providers, ensuring compliance with relevant policies and regulations.
Manage end-to-end claims processing, from initial submission to final resolution, ensuring timely and accurate payments.
Collaborate with healthcare providers to resolve any discrepancies or issues related to claims.
Maintain detailed records of claims adjudication processes and outcomes, providing reports as needed.




Stay updated on changes in healthcare regulations and policies that may impact claims processing.
Work closely with internal teams to improve claims processing workflows and enhance overall efficiency.

Required Skills:
Solid knowledge of claims adjudication processes and US healthcare regulations.
Excellent analytical and problem-solving skills.
Attention to detail and ability to work under pressure.
Strong communication skills, both written and verbal, to effectively interact with providers and internal teams.
Proficiency in claims management software and Microsoft Office Suite.

If you are a motivated professional with a passion for healthcare and a commitment to excellence in claims processing, we encourage you to apply for this exciting prospect.

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