Average salary: Rs797,400 /yearly
More statsGet new jobs by email
Rs 5 - 6.5 lakhs p.a.
• Perform end-to-end processing of Life & Annuity Insurance transactions. • Adjudicate claims and validate retirement benefit transactions. • Ensure compliance with regulatory and company guidelines. • Maintain detailed documentation with high accuracy and attention to...SuggestedOrcapod Consulting Services
Secunderabad6 days agoRs 8 - 12.5 lakhs p.a.
...benefits, and approve/reject per SOP • Provide guidance and support to junior advisors in resolving complex claims • Identify potential fraud, waste, and abuse (FWA); flag suspicious cases and work with compliance teams • Manual Claims Adjudication experience required...SuggestedOrcapod Consulting Services
Coimbatore5 days ago- ...Role : Adjudicator (Disagreement Resolution + Guideline Governance) Location: India | Type: Full-time | Reports to: Quality Lead / Program Lead Mission: Convert disagreement into defensible ground truth while continuously tightening the guideline system. About Us...SuggestedFull timePart time
Codvo.ai
Pune1 day ago Rs 3 - 6 lakhs p.a.
...company and regulatory policies • Ensure compliance with health insurance guidelines and internal policy standards • Perform claims adjudication, verifying claim details, policy coverage, and eligibility • Monitor quality and performance metrics for timely claim processing...SuggestedOrcapod Consulting Services
Secunderabad6 days agoRs 3.5 - 6 lakhs p.a.
• Review and adjudicate medical insurance claims in line with policy guidelines • Validate member eligibility, coverage, and completeness of claims • Interpret CPT, ICD10, and HCPCS codes to make accurate claim decisions • Analyze clinical documents such as prescriptions...SuggestedOrcapod Consulting Services
Coimbatore4 days ago- Competencies: ~ Knowledge of individual life insurance ~ Excellent written and verbal communication skills with an ability to handle written inquiries of a sensitive nature ~5 years of client service experience or 5 years in a Life claims environment ~ Strong problem...Suggested
Sun Life
Gurgaon3 days ago Rs 4.5 - 7.5 lakhs p.a.
• Assess complex health insurance claims and ensure compliance with industry standards (ICD 9, ICD 10, CPT) • Review clinical, day case, inpatient, and outpatient claims to approve or reject as per SOP • Identify potential fraud, waste, and abuse (FWA) and escalate suspicious...SuggestedShift workOrcapod Consulting Services
Coimbatore4 days agoRs 5 - 9.5 lakhs p.a.
Key Responsibilities: Assess complex medical claims for APAC insurance providers similar to AXA, AIA, Alliance Care. Verify medical codes, diagnoses, and procedures to ensure compliance with ICD-9, ICD-10, CPT, and other industry standards. Review Clinical & Day Case...SuggestedOrcapod Consulting Services
Coimbatore6 days ago- ...Roles and Responsibilities: ~ Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network...SuggestedWorking Monday to FridayShift workWeekend work
- ...tender analysis, coordination with technical team for technical analysis of bids and timely issue of tender reports. f. Lead tender adjudication meeting and assist/ participate with client team in commercial negotiation for tender award. g. Ensure timely award...SuggestedContract workFor contractorsLocal area
Ascentis Group
Bangalore6 days ago - ...solutions that support the healthcare claim function, leveraging a knowledge of the processes and systems to receive, edit, price, adjudicate, and process payments for claims. What are we looking for Claims Administration Claims Analysis Claims Processing Prioritization...SuggestedShift work
Accenture in India
Navi Mumbai7 days ago - ...Job Summary Join our dynamic team as a Claims Specialist where you will leverage your expertise in claims adjudication and pre-adjudication processes to enhance our commercial claims operations. With a focus on accuracy and efficiency you will play a crucial role in ensuring...SuggestedWork at officeNight shift
Cognizant
Coimbatore6 days ago Rs 4 - 6 lakhs p.a.
...Individual & Group) and processes (specifically Claims). Must be able to analyse and outline the claims process from intake through adjudication and payment, to identify areas for improvement. Should have working knowledge of the Majesco ClaimVantage product. Must be...SuggestedContract workIfintalent Global Private Limited
Chennai5 days ago- ...point of contact for assigned employees to provide holistic case management services, including reviewing medical documentation to adjudicate leaves in compliance with the corresponding leave plans, federal and state laws and benefit plans as defined by Amazon 3. Leverage...SuggestedContract work
Amazon Music
India14 days ago - ...preferred). Mandatory: Pharmacy Benefit Management (PBM) experience with ability to work on reporting, issue management, and claims adjudication tools. Graduate Strong analytical, critical‑thinking, and problem‑solving capabilities. Prior experience in Account...Suggested
Optum
Gurgaon15 days ago - ...productivity targets. Monitor daily work queues, volumes, and ageing; proactively manage backlogs and risks. Ensure accurate claim adjudication in line with policy terms, benefit structures, and regulatory requirements. Escalate complex, high‑risk, or high‑impact issues...
the cigna group
Bangalore2 days ago - ...employees and stakeholders Calculate payments using system formulas Assessment & Compliance Review Military documentation and adjudicate leaves Ensure compliance with federal/state laws and Amazon policies Maintain accurate system records Adapt case management...
Amazon Music
India13 days ago - ...or KYC. ~ Bachelor's degree in Finance or related disciplines. ~ Strong logical and analytical ability to identify anomalies and adjudicate alerts. ~ Effective verbal and written communication skills ability to work under pressure and meet deadlines. Preferred...Shift work
JP Morgan Chase & Co.
Secunderabada month ago Rs 7 - 15 lakhs p.a.
...work experience. In-depth knowledge of Revenue Cycle Management (RCM) . Knowledge of Payer workflows like Enrollment, Claims Adjudication, Appeals and Grievances, Payment Integrity Authorization. Expertise on Payer terminologies (related to Medicare Advantage...Access Healthcare
Chennai22 days ago- ...solutions that support the healthcare claim function, leveraging a knowledge of the processes and systems to receive, edit, price, adjudicate, and process payments for claims. What are we looking for Freshers Roles and Responsibilities: In this role you are required...Shift work
Accenture in India
Navi Mumbai7 days ago - ...Job Summary Join our team as a Claims Specialist where you will leverage your expertise in claims adjudication to ensure accurate and efficient processing of claims. With a focus on detail and precision you will contribute to the seamless operation of our claims department...Work from homeShift workDay shift
Cognizant
Bangalore7 days ago - ...patterns and design intelligent automation to reduce manual effort Build scalable models and rules that improve accuracy, speed, and adjudication quality Partner with SMEs, engineering, and operations to align automation with business goals Monitor model performance,...Contract workShift work
Optum
Bangalorea month ago Rs 5 - 5.5 lakhs p.a.
...point of contact for assigned employees to provide holistic case management services, including reviewing medical documentation to adjudicate leaves in compliance with the corresponding leave plans, federal and state laws and benefit plans as defined by Amazon Leverage duration...Remote jobContract workWork from homeAmazon Development Centre (India) Private Limited
Bangalore5 days ago- ...expertise in Guidewire ClaimCenter (configuration, workflows, FNOL, claims lifecycle) 3. Solid understanding of claims processing, adjudication, reserves, subrogation, and settlements 4. Experience gathering and documenting business requirements (BRD, FRD, user stories)...Hybrid workWork at officeRemote jobUS shiftFlexible hoursShift work
NTT Data
work from home26 days ago - ...point of contact for assigned employees to provide holistic case management services, including reviewing medical documentation to adjudicate leaves in compliance with the corresponding leave plans, federal and state laws and benefit plans as defined by Amazon . Leverage...Contract work
Amazon Music
India16 days ago - ...solutions that support the healthcare claim function, leveraging a knowledge of the processes and systems to receive, edit, price, adjudicate, and process payments for claims. What are we looking for Claims Administration Claims Processing Claims Analysis Insurance...Shift work
Accenture in India
Mumbai7 days ago - ...knowledge of land laws, property tenures, ownership, acquisition, development rules, and Well‑versed in stamp duty, registration, and adjudication process. Experience drafting pleadings, statutory notices, replies, petitions, and complaints. Familiar with High Court...Contract work
Michael Page
Mumbai10 days ago - ...healthcare revenue cycle management or a related field. Understanding of medical billing codes, insurance processes, and claim adjudication. Strong communication skills for effective interaction with insurance companies and patients. Attention to detail and accuracy...
SRKay Consulting Group
Pune7 days ago - ...large teams in a BPO/TPA/payor setup supporting U.S. clients. ~ Familiarity with CMS regulations, eligibility guidelines, and claims adjudication workflows. ~ Excellent leadership, communication, and client management skills. ~ Ability to work in US shifts and manage...US shift
Firstsource
Bangalore1 day ago - ...committed to bringing passion and customer focus to the business. Experience: 6–10 years (techno-functional) Domain: Medical claims adjudication, edits, payment integrity, denials management About The Role Own end-to-end problem solving for claims operations: improve...
Fractal
Bangalore1 day ago
