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Claims Adjudication Associate
Job Location:
Monthly Salary:
Experience Required:
Posted:
3 September 2026 (15 hours ago)
Posted:
Application Deadline:
1 December 2026
Application Deadline:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
Claims Adjudication Associate
Location: Infopark Kochi
Qualification: Any Degree
Experience: 2 Years
Salary: 4.5LPA- 6LPA
FACETS Experience: Preferred / Added Advantage
Shift: 6:00 PM 3:00 AM
We are looking for a detail-oriented Claims Adjudication Associate with experience in US Healthcare Claims Adjudication. The candidate will be responsible for reviewing analyzing and accurately adjudicating healthcare claims based on member eligibility benefits provider contracts and payer guidelines. Hands-on experience with FACETS will be an added advantage.
Responsibilities
- Review and adjudicate US healthcare claims accurately and efficiently.
- Verify member eligibility benefits coverage and claim information.
- Analyze claims to determine appropriate payment denial or adjustment.
- Review and validate claims against benefit plans provider contracts and payer guidelines.
- Identify and resolve claim discrepancies exceptions and processing errors.
- Handle claim adjustments reprocessing and corrections as required.
- Investigate denied or rejected claims and take appropriate action.
- Maintain accurate documentation of claim decisions and supporting information.
Requirements
- Strong understanding of US healthcare insurance and claims lifecycle.
- Good knowledge of eligibility benefits claims payment denials and adjustments.
- Experience with FACETS is a strong advantage.
- Strong analytical and problem-solving skills.
- Excellent attention to detail and accuracy.
Required Skills:
2 years experience in Claims adjudication
Required Education:
Any Graduation
