Health Admin Services Associate-Voice

8103 Acc Sol Pvt Ltd Company; Bengaluru; On-site; INR 300,000 - 450,000; Full time

Job summary

Accenture in Bengaluru is seeking a Health Admin Services Associate to support claims appeals and health admin operations. The role focuses on embedding digital transformation in healthcare processes, reviewing denied insurance claims, gathering information, and making compliant decisions to ensure fair resolutions.

Ideal candidates hold a BSc or BSc Nursing with 1–3 years of relevant experience, and demonstrate strong communication and analytical skills, adaptability, and the ability to work

Qualifications

• Adaptable and flexible with the ability to work in a dynamic healthcare environment.
• 1–3 years of experience in health admin or claims processing is desirable.
• BSc or BSc Nursing qualification required.

Responsibilities

• Reviewing and processing appeals for denied insurance claims, gathering information, and making decisions on appeals.
• Communicate with claimants and analyze documentation while adhering to regulatory guidelines.
• Handle core claim processing activities including registration, editing, verification, evaluation, and examination.

Skills

Adaptable and flexible

Ability to perform under pressure

Problem-solving skills

Written and verbal communication

Strong analytical skills

Education

BSc

BSc. Nursing

Job description

About Accenture

Skill required: Claims Appeals - Claims Administration Designation: Health Admin Services Associate Qualifications:BSc/BSc. Nursing Years of Experience:1 to 3 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?

Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrow

Claims Appeals involves reviewing and processing appeals for denied insurance claims. This includes evaluating the reasons for denial, gathering additional information, and making decisions on the appeal. The goal is to ensure fair and accurate resolution of claims.

Responsibilities include communicating with claimants, analyzing documentation, and adhering to regulatory guidelines. This role is essential for maintaining trust and satisfaction in the claims process.

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?

• Adaptable and flexible
• Ability to perform under pressure
• Problem-solving skills
• Written and verbal communication
• Strong analytical skills

Roles and Responsibilities:

• In this role you are required to solve routine problems, largely through precedent and referral to general guidelines
• Your expected interactions are within your own team and direct supervisor
• You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments
• The decisions that you make would impact your own work
• You will an individual contributor as a part of a team, with a predetermined, focused scope of work
• Please note that this role may require you to work in rotational shifts

BSc,BSc. Nursing

About Accenture

Accenture is a leading global professional services company that helps the world’s leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services—creating tangible value at speed and scale. We are a talent- and innovation-led company with approximately 791,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world’s leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional expertise and global delivery capability. Our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients reinvent and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders, partners and communities. Visit us at www.accenture.com

Equal Employment Opportunity Statement

We believe that no one should be discriminated against because of their differences. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, military veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by applicable law. Our rich diversity makes us more innovative, more competitive, and more creative, which helps us better serve our clients and our communities.

Bring your incredible skills and join our global team of innovators. We come together from different backgrounds across the world and work with the latest technologies to create value and growth for our clients. With us, you’ll continue to learn and grow so you can advance in your career. Your personal dreams and ambitions are just as important to us; that’s why we offer support any way we can—when you thrive, we all thrive.

Explore your next step at Accenture Belong. Grow. Thrive. Join a great place to work for reinventors who drive meaningful change for our clients, communities, and the world. Wo rld. Explore your next step at Accenture