Senior Associate (US Healthcare)

Entri Jobs; Ernakulam; On-site; INR 420,000 - 660,000; Full time

Job summary

EXL is seeking a Senior Associate to join our Healthcare Department in Kochi, focusing on US healthcare claims adjudication and processing.

Key duties include end-to-end adjudication, handling complex appeals, and ensuring accuracy and compliance with internal quality benchmarks. Prior experience with Facets and strong analytical and communication skills are required.

Qualifications

• Minimum 2 years of relevant experience in the US healthcare claims domain.
• 1 year of hands-on experience with Facets application.
• Strong analytical skills with attention to healthcare data processing.
• Excellent communication skills for inter-departmental documentation.

Responsibilities

• Perform end-to-end claims adjudication for US healthcare clients.
• Manage and resolve complex claims appeals within defined timelines.
• Serve as a claims adjuster to review and settle healthcare claims accurately.
• Maintain compliance with industry standards and internal quality benchmarks.

Skills

Claims Adjudication

Data analysis

Claims Appeals

Facets Application

Healthcare Insurance

US Healthcare Compliance

Education

Bachelor's degree in a relevant field

Tools

Facets Application

Job description

EXL is looking for a dedicated Senior Associate to join our Healthcare Department in Kochi. This role involves working closely with US healthcare claims, ensuring accurate adjudication and processing. If you are passionate about making a difference in the healthcare sector,

Responsibilities

• Perform end-to-end claims adjudication for US healthcare clients.
• Manage and resolve complex claims appeals within defined timelines.
• Serve as a claims adjuster to review and settle healthcare claims accurately.
• Maintain compliance with industry standards and internal quality benchmarks.

Qualifications

• Minimum 2 years of relevant experience in the US healthcare claims domain.
• At least 1 year of hands-on experience working with Facets application.
• Strong analytical skills with an eye for detail in healthcare data processing.
• Excellent communication skills to handle inter-departmental documentation.

Education

Bachelor's degree in a relevant field or equivalent industry experience.

Skills

Claims Adjudication, data analysis, Claims Appeals, Facets Application, Healthcare Insurance, US Healthcare Compliance

Experience

2+ years