Claims Processor

Job Overview

We are seeking a meticulous and customer-oriented Healthcare Process Associate to manage healthcare-related operations effectively. The role includes processing healthcare transactions, verifying patient and member details, managing documentation accurately, and adhering to healthcare and company protocols.

Key Responsibilities

• Accurately process healthcare transactions and requests within specified deadlines.
• Examine and confirm the authenticity of patient/member information and corresponding documents.
• Handle healthcare data, claims, insurance, and records as per operational guidelines.
• Detect and address discrepancies or incomplete information.
• Maintain and update records on internal systems consistently.
• Adhere to standard operating procedures along with quality and compliance standards.
• Address routine process queries and escalate complex issues to relevant teams.
• Perform data entry tasks while ensuring high precision.
• Collaborate with internal departments and other stakeholders to resolve issues.
• Achieve set productivity, quality, and turnaround metrics.
• Uphold confidentiality of sensitive healthcare and customer information.
• Contribute to process enhancement and quality improvement initiatives.

Required Skills and Qualifications

• Effective written and verbal communication abilities.
• Strong focus on accuracy and detail.
• Basic understanding of healthcare and health insurance processes.
• Analytical thinking and problem-solving capabilities.
• Proficiency with MS Office tools, particularly Excel.
• Competent typing and computer operation skills.
• Ability to work both autonomously and collaboratively within a team.
• Capability to maintain precision in repetitive tasks.
• Graduate degree in any field; candidates from Healthcare, Life Sciences, Pharmacy, Nursing, or related disciplines are preferred.
• Fresh graduates from 2025 or 2026 batches without backlogs are eligible.
• Experience in claims processing, medical billing, healthcare operations, provider/member services, or insurance is advantageous but not mandatory.

Additional Job Information

• Position: Healthcare Process Associate
• Industry: Healthcare / BPO / KPO
• Employment Type: Full-Time
• Shift Timing: Night shifts
• Work Location: Navi Mumbai, Airoli
• Experience: Only freshers from 2025-2026 pass-outs without passing backlogs.