Support Engineer

Infinite Computer Solutions; Bengaluru; On-site; INR 450,000 - 750,000; Full time

Job summary

Infinite Computer Solutions in Bengaluru, India, seeks a Claims Adjudication Specialist to handle provider/member claims, research EOBs, and ensure accurate updates in secure systems.

You will document daily tasks, escalate unresolved cases, and comply with CMS and HIPAA privacy rules while meeting SLAs. The ideal candidate has 2–5 years in healthcare claims and strong English communication, with basic Windows/Microsoft Office knowledge.

Qualifications

• High school diploma or equivalent (mandatory).
• Some college education or a completed degree (preferred).
• Strong command of the English language (verbal and written).
• Basic knowledge of Windows OS and Microsoft Office tools.

Responsibilities

• Handles Claims related to providers/Members: Benefits, eligibility, claim status, claims adjudication, Claims Appeal and Grievances
• Claim research and Explanation of Benefits (EOB)
• Utilize internal systems and tools (via secure access methods) to retrieve and update information.
• Document all the daily tasks related to Claims adjudicated in the system.
• Escalate unresolved cases to the appropriate internal departments.
• Adhere to all privacy laws and regulatory compliance requirements related to CMS and HIPAA.
• Meet performance targets and service level agreements (SLAs).

Skills

Communication skills

Problem solving

Technical proficiency

Time management

Customer-centricity

Team collaboration

Education

High school diploma or equivalent

Some college education or completed degree

BE (Bachelor of Engineering)

Tools

Windows OS

Microsoft Office

Job description

Job Description

• Handles Claims related to providers/Members: Benefits, eligibility, claim status, claims adjudication, Claims Appeal and Grievances
• Claim research and Explanation of Benefits (EOB)
• Utilize internal systems and tools (via secure access methods) to retrieve and update information.
• Document all the daily tasks related to Claims adjudicated in the system.
• Escalate unresolved cases to the appropriate internal departments.
• Adhere to all privacy laws and regulatory compliance requirements related to CMS and HIPAA.
• Meet performance targets and service level agreements (SLAs).

Key Responsibilities

• Handles Claims related to providers/Members: Benefits, eligibility, claim status, claims adjudication, Claims Appeal and Grievances
• Claim research and Explanation of Benefits (EOB)
• Utilize internal systems and tools (via secure access methods) to retrieve and update information.
• Document all the daily tasks related to Claims adjudicated in the system.
• Escalate unresolved cases to the appropriate internal departments.
• Adhere to all privacy laws and regulatory compliance requirements related to CMS and HIPAA.
• Meet performance targets and service level agreements (SLAs).

Required Qualifications

• High school diploma or equivalent (mandatory)
• Some college education or a completed degree (preferred)
• Strong command of the English language (verbal and written)
• Basic knowledge of Windows OS and Microsoft Office tools

Preferred Experience

• 2–5 years of Claims Adjudication (preferably in healthcare or insurance)
• Experience working in office environment with US healthcare background
• Familiarity with claims processing systems and provider portals (preferred)
• Experience in Medicare plans, especially on I-SNP will be an added advantage.
• Clear knowledge on different types of facilities in US healthcare like SNF, NF etc.

Skills and Competencies

• Excellent Communication: Ability to articulate clearly and listen actively
• Problem Solving: Uses logic and reasoning to resolve issues effectively
• Technical Proficiency: Comfortable navigating multiple systems and platforms
• Time Management: Handles tasks efficiently while meeting deadlines
• Customer Centricity: Focused on delivering a positive provider experience
• Team Collaboration: Works well with others and contributes to team success

Behavioral Attributes

• Empathy: Understands and acknowledges provider concerns
• Professionalism: Maintains a calm and respectful tone under pressure
• Accountability: Takes ownership of responsibilities and outcomes
• Adaptability: Flexible with process changes and system updates
• Confidentiality: Complies with data privacy standards and regulations

Qualifications

BE

Range Of Year Experience

Min Year: 2

Max Year: 5