We are seeking a knowledgeable and experienced Healthcare Claims Subject Matter Expert to join our team. The ideal candidate will have a robust background in claims adjudication and processing, particularly within the US healthcare system. This role is critical in ensuring that our claims processes are effective, accurate, and compliant with industry standards.

Key Responsibilities:
Oversee the claims adjudication process, ensuring timely and accurate processing of medical claims.
Act as a subject matter expert on US healthcare claims, providing guidance and support to team members and stakeholders.
Analyze claims data to identify trends, discrepancies, and areas for improvement.
Collaborate with cross-functional teams to enhance claims processing workflows and implement best practices.
Provide training and support to staff on claims processing procedures and compliance requirements.




Stay updated on industry regulations and changes in healthcare policies that may impact claims processing.

Required Skills:
Proven experience in claims adjudication and processing, with a focus on medical claims.
In-depth knowledge of the US healthcare system and related regulations.
Strong analytical skills with the ability to interpret complex data.
Excellent communication and interpersonal skills, capable of working collaboratively in a team environment.
Detail-oriented with a commitment to accuracy and compliance.

If you are passionate about healthcare claims and have the expertise to drive improvements in claims processing, we encourage you to apply for this exciting chance.

📌 Healthcare Claims Subject Matter Expert Hyderabad
🏢 CONVERSE PLACEMENT SERVICES INDIA PRIVATE
📍 Hyderabad