We are looking for Claim Adjudication Position.
Experience : 1 to 3 Years
Location : Chennai,
Skills : Claim adjudication & COB
Notice Period : Immediate to 20 Days.
Responsibilities:
Responsible for filing additional claims that are in a pending status until all required information is received.
Responsible for pulling files and paid them when required information is received.
Organized and reviewed medical claims for completeness, accuracy, and took appropriate action to ensure procedures are followed.
Assisted Customer Service Representatives by answering telephone inquiries concerning the status of medical claims, procedures for submitting claims, procedures for submitting appeal letters for then claims are denied for payment.
Assisted Medical Claims Examiners in reviewing approved claims for payment, ensuring information is accurate.
Filled out discrepancy sheets for Adjudicators to correct any misspelled information approved claims.
Assisted the Supervisor and Head of Healthcare Operations on special cases involving medical claims on high-ranking active-duty members to resolve certain issues.
Submitted numerous suggestions to MID (Management Information Department) in the elimination of duplicate payment of claims and to correctly identify Legal cases.