Health Admin Services Associate - INC

Overview

Join the Healthcare Claims team responsible for the administration of health claims, handling core claim processing from registration through litigation, including health, life, and property and casualty claims.

What you'll do

• Resolve complex case escalations.
• Support regulations, compliance, and policy interpretation.
• Conduct quality reviews and calibration sessions.
• Deliver process training and refreshers.
• Drive process improvement initiatives.
• Support IDR and Correspondence workflows.
• Perform analysis and solve lower-complexity problems.

What you'll need

• Any graduation degree.
• 3-5 years of experience (Primary skill: Claims Administration, P1).
• 4 to 6 years of Appeals and Grievance experience.
• Subject matter expertise in Appeals (Commercial and/or Medicare).
• Experience supporting audits and client reviews.
• Process transition and training experience.

Details

• Location: Navi Mumbai.
• May require working in rotational shifts.
• Day-to-day interaction with peers within Accenture before updating supervisors; limited exposure to clients and/or Accenture management.
• Moderate-level instruction on daily tasks and detailed instructions on new assignments.
• Individual contributor within a team, with a focused scope of work.