Healthcare Claims Resolution Professional

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
• Interp...