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2025 Freshers / NIGHT SHIFT

0 years

0 Lacs

Posted:1 day ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Role & responsibilities

  • In this role, you will be responsible for supporting the end-to-end claims process, ensuring timely and accurate adjudication, pricing, and payment of healthcare claims.
  • Receive and review healthcare claims for completeness and accuracy.
  • Edit and process claims based on policy guidelines and system requirements.
  • Apply pricing and adjudication rules to determine claim outcomes.
  • Ensure timely and accurate payments in compliance with organizational standards.
  • Collaborate with internal departments to resolve discrepancies and ensure smooth claim lifecycle management.
  • Maintain a strong understanding of healthcare claims processing systems and protocols.
  • Adhere to performance metrics, quality standards, and regulatory requirements.
  • Provide regular status updates and escalate complex cases as necessary.

Benefits:

  • Pick up and drop facility provided
  • Covered for Health and medical insurance

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Trigent Software
Trigent Software

IT Services and IT Consulting

Southborough MA

1001-5000 Employees

299 Jobs

    Key People

  • Vikram R. Ahuja

    Co-Founder & CEO
  • Sujay D. Ahuja

    Co-Founder & CTO

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