Health Admin Services Analyst

Accenture PLC; Thane; On-site; INR 450,000 - 650,000; Full time

Job summary

Accenture in India invites applications for Health Admin Services Analyst to support Health Claims processing, appeals, and grievances with 3–5 years of experience. You will handle audits, training, and transition activities within the Healthcare Claims team, including health, life, and property & casualty claims management.

Rotational shifts may apply, and collaboration with peers is essential. Graduate degree is required and experience in appeals is a plus; join a global leader driving change

Qualifications

• Experience supporting audits and client reviews.
• Process transition and training experience.
• Experience with healthcare claims processing including health, life, and property & casualty.

Responsibilities

• Resolve complex case escalations.
• Support regulations, compliance, and policy interpretation.
• Conduct quality reviews and calibration sessions.
• Deliver process training and refreshers.
• Drive process improvement initiatives.
• Support IDR and Correspondence workflows.
• Collaborate with peers; limited client exposure as needed.

Skills

Claims Appeals - Claims Administration

Education

Any Graduation

Job description

Skill required:

Claims Appeals - Claims Administration

Designation:

Health Admin Services Analyst

Qualifications:

Any Graduation

Years of Experience:

3 to 5 years

About Accenture

Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song— all powered by the world’s largest network of Advanced Technology and Intelligent Operations centers. Our 784,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com

What would you do?

• Experience supporting audits and client reviews.
• Process transition and training experience.
• You will be a part of the Healthcare Claims team which is responsible for the administration of health claims This team is involved in core claim processing such as registering claims editing verification claims evaluation and examination litigation
• Includes the administration of health, life, and property & causality claims.
• Includes activities involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.

What are we looking for?

• Primary skill - Claims Administration - P1
• Graduate degree.
• 4 to 6 years of Appeals and Grievance experience.
• Subject Matter Expertise in Appeals (Commercial and or Medicare

Roles and Responsibilities:

• Resolve complex case escalations.
• Support regulations, compliance, and policy interpretation.
• Conduct quality reviews and calibration sessions.
• Deliver process training and refreshers.
• Drive process improvement initiatives.
• Support IDR and Correspondence workflows.
• In this role you are required to do analysis and solving of lower-complexity problems.
• Your day to day interaction is with peers within Accenture before updating supervisors.
• In this role you may have limited exposure with clients and or Accenture management.
• You will be given moderate level instruction on daily work tasks and detailed instructions on new assignments.
• The decisions you make impact your own work and may impact the work of others.
• You will be an individual contributor as a part of a team, with a focused scope of work.
• Please note that this role may require you to work in rotational shifts Any Graduation

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