Health Admin Services Specialist-Voice

Accenture; Bengaluru; On-site; INR 1,500,000 - 2,300,000; Full time

Job summary

Accenture’s Intelligent Operations centers in Bengaluru seek a Health Admin Services Specialist for Claims Appeals. You will review denials, gather information, and decide on appeals to ensure fair and accurate resolutions.

The role spans health, life, and property & casualty claims, including registration, verification, evaluation, and litigation support. The role requires 7–11 years of experience, a BSc/Bachelor of Pharmacy, and the ability to work in shifts.

Qualifications

• Adaptable and flexible; able to adjust to changing priorities and processes.
• Strong written and verbal communication skills.
• Excellent problem-solving and analytical abilities.
• Ability to work under pressure and meet deadlines.

Responsibilities

• Analyze and solve moderately complex problems.
• Create new solutions or adapt existing methods as needed.
• Understand strategic direction from senior management related to team goals.
• Interact with supervisor and possibly with peers/clients within Accenture.
• Follow guidance on new assignments and procedures as needed.
• Lead small teams or work efforts as required in client engagements.

Skills

Adaptable

Under pressure

Problem solving

Communication

Analytical skills

Education

BSc/Bachelor of Pharmacy

Job description

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.

Skill required:

Claims Appeals - Claims Administration

Designation:

Health Admin Services Specialist

Qualifications:

BSc/Bachelor of Pharmacy

Years of Experience:

7 to 11 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 moderately complex problems
• May create new solutions, leveraging and, where needed, adapting existing methods and procedures
• The person would require understanding of the strategic direction set by senior management as it relates to team goals
• Primary upward interaction is with direct supervisor
• May interact with peers and/or management levels at a client and/or within Accenture
• Guidance would be provided when determining methods and procedures on new assignments
• Decisions made by you will often impact the team in which they reside
• Individual would manage small teams and/or work efforts (if in an individual contributor role) at a client or within Accenture
• Please note that this role may require you to work in rotational shifts

Qualification

BSc,Bachelor of Pharmacy