Claim Examiner Fresher
Job Description
Analytical Skills, Attention to Detail, Communication Skills, Problem Solving, Time Management, Customer Service, Medical Terminology, Insurance Knowledge,
Adjudication – Claim Examiner
Job Title: Claim Examiner “Adjudication-Fresher”
Location: Chennai
Job Type: Full-Time
Gender: Male/ Female
Experience: Fresher to 6 Months any Experience
Desired Candidate Profile
Training Will Be Provided By The Company With Salary
Responsible for the coordination and resolution of the administrative denials and appeals.
Ability to understand logic of standard medical coding (i.e., CPT, ICD-10, HCPCS, etc.).
Ability to resolve claims that require adjustments and adjustment projects, Identify claim(s) with inaccurate data or claims that require review by appropriate team members.
Meet & Exceed Production, Productivity, and Quality goals
Process Insurance Claims timely and qualitatively
Review medical documents, policy documents, policy history, Claims history, and system notes and apply the trained client-level business rules to make appropriate Claims decisions, call out claims trends, and flag fraud activities
Eligible Criteria
Any Degree/ Life Science
Benefits: ESI /PF / GRATUITY / BONUS / LEAVE ENCASH / PAID LEAVE/ INSURANCE
Interview direct walk-In- 11-Dec-2024 to 10- Jan-2025
SYNTHESIS HEALTHSOFT SERVICES & SOLUTION LLP,
No: 141, Prakash Towers, 2nd Floor, OMR Road, Kottivakkam, Near IGP Factory,
Chennnai- 600041.
Contact Direct HR: + 919176332863, 7092611824
HR Mail ID: [email protected]