We are seeking a highly skilled Senior Claim Adjudicator to join our team in Andhra Pradesh. The ideal candidate will have extensive experience in the US healthcare sector, specifically in claim adjudication processes. As a Senior Claim Adjudicator, you will play a crucial role in ensuring that claims are processed accurately and efficiently, adhering to all regulatory requirements and company policies.

Key Responsibilities:
Review and adjudicate healthcare claims in accordance with established guidelines and policies.
Analyze claim submissions for accuracy and completeness, identifying any discrepancies or issues that may arise.
Collaborate with healthcare providers, insurance companies, and internal teams to resolve claim-related inquiries and disputes.
Utilize Facet software to manage and track claims, ensuring timely processing and resolution.
Stay updated on industry trends, regulations, and best practices in claim adjudication and US healthcare.




Provide training and mentorship to junior staff members, fostering a culture of continuous improvement and excellence in claim processing.

Required Skills:
In-depth knowledge of US healthcare systems and claim adjudication processes.
Proficiency in using Facet software for claims management.
Robust analytical and problem-solving skills, with attention to detail.
Excellent communication and interpersonal skills to effectively collaborate with various stakeholders.
Ability to work independently and manage multiple tasks in a quick-paced environment.

If you are a dedicated skilled with a passion for the healthcare industry and a commitment to excellence in claim adjudication, we encourage you to apply for this exciting opportunity.

📌 Senior Claim Adjudicator Hyderabad
🏢 CONVERSE PLACEMENT SERVICES INDIA PRIVATE
📍 Hyderabad