Job Description
Job Description: Associate – Claims Adjudication (Appeals & Grievances)
Location: OMR Navalur, Chennai, Tamil Nadu
Experience: 1–3 Years
Shift: US Shift (5:00 PM – 2:00 AM IST)
Employment Type: Full‑Time
Role Overview:
We are looking for a detail‑oriented Associate – Claims Adjudication with hands‑on experience in Appeals and Grievances within US healthcare. The role involves reviewing, analyzing, and resolving appealed and grievance claims in compliance with payer guidelines, regulatory requirements, and internal SLAs.
Key Responsibilities:
Adjudicate appeals and grievance claims accurately and within defined TATs
Review medical records, claim history, EOBs, provider correspondence, and payer policies
Interpret US healthcare policies , benefit plans, CPT, ICD‑10, and HCPCS codes
Ensure compliance with CMS, HIPAA, and payer‑specific guidelines
Identify claim errors, root causes, and recommend corrective actions
Document claim decisions clearly and...
Location: OMR Navalur, Chennai, Tamil Nadu
Experience: 1–3 Years
Shift: US Shift (5:00 PM – 2:00 AM IST)
Employment Type: Full‑Time
Role Overview:
We are looking for a detail‑oriented Associate – Claims Adjudication with hands‑on experience in Appeals and Grievances within US healthcare. The role involves reviewing, analyzing, and resolving appealed and grievance claims in compliance with payer guidelines, regulatory requirements, and internal SLAs.
Key Responsibilities:
Adjudicate appeals and grievance claims accurately and within defined TATs
Review medical records, claim history, EOBs, provider correspondence, and payer policies
Interpret US healthcare policies , benefit plans, CPT, ICD‑10, and HCPCS codes
Ensure compliance with CMS, HIPAA, and payer‑specific guidelines
Identify claim errors, root causes, and recommend corrective actions
Document claim decisions clearly and...
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