Health Admin Services Senior Analyst-Voice

Accenture; Bengaluru; On-site; INR 900,000 - 1,500,000; Full time

Job summary

Accenture in Bengaluru is seeking a Health Admin Services Senior Analyst to drive end-to-end claims appeals and administration within healthcare operations.

The role involves embedding digital transformation to improve outcomes, reviewing denied insurance claims, and ensuring fair resolutions while handling health, life, and property & casualty claim processes. Rotational shifts may be required.

Qualifications

• End-to-end claims appeals and administration in healthcare operations.
• Review denied insurance claims and support fair resolution.
• Rotational shifts may be required.

Responsibilities

• Analyze and solve increasingly complex problems.
• Day-to-day interactions with peers within Accenture.
• Possible interaction with clients and/or Accenture management.
• Carry minimal daily instructions with moderate guidance on new tasks.
• Potential to oversee a small team or act as an individual contributor.
• Note: role may require rotational shifts.

Skills

Claims Appeals

Education

BSc/BSc. Nursing

Job description

Skill required:

Claims Appeals - Claims Administration

Designation:

Health Admin Services Senior Analyst

Qualifications:

BSc/BSc. Nursing

Years of Experience:

5 to 8 years

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 do analysis and solving of increasingly complex problems
• Your day to day interactions are with peers within Accenture
• You are likely to have some interaction with clients and/or Accenture management
• You will be given minimal instruction on daily work/tasks and a moderate level of instruction on new assignments
• Decisions that are made by you impact your own work and may impact the work of others
• In this role you would be an individual contributor and/or oversee a small work effort and/or team
• Please note that this role may require you to work in rotational shifts
• Qualification BSc,BSc. Nursing