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Job Description
Adjudication Claim Examiner
Job Title: Claim Examiner Adjudication
Location: Chennai
Job Type: FullTime
Shift: Day Shift Based on the Client Requirement
Gender: Male/ Female
Experience: Fresher to 6 Months Training Given by the Company.
Desired Candidate Profile
Responsible for the coordination and resolution of the administrative denials and appeals.
Ability to understand logic of standard medical coding (i.e. CPT ICD10 HCPCS etc..
Ability to resolve claims that require adjustments and adjustment projects Identify claim(s) with inaccurate data or claims that require review by appropriate team members.
Meet & Exceed Production Productivity and Quality goals
Process Insurance Claims timely and qualitatively
Review medical documents policy documents policy history Claims history and system notes and apply the trained clientlevel business rules to make appropriate Claims decisions call out claims trends and flag fraud activities
Eligible Criteria:
Any Degree/ Life Science
Benefits: ESI /PF / GRATUITY / BONUS / LEAVE ENCASH / PAID LEAVE/ INSURANCE
Interview Date: 11Dec24 to 10Jan2025
SYNTHESIS HEALTHSOFT SERVICES & SOLUTION LLP
No: 141 Prakash Towers 2nd Floor OMR Road Kottivakkam Near IGP Factory
Chennnai 600041.
Contact Direct HR:
HR Mail ID:
Employment Type
Full-Time
