Health Admin Services Associate - INC

Overview

Join Accenture's Healthcare Claims team, which administers health claims, covering core claim processing such as registering claims, editing and verification, claims evaluation, and examination and litigation.

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.
• Analyze and solve lower-complexity problems.

What you'll need

• Graduate degree.
• 4 to 6 years of Appeals and Grievance experience.
• Subject Matter Expertise in Appeals (Commercial and/or Medicare).
• Primary skill: Claims Administration.

Nice to have

• Experience supporting audits and client reviews.
• Process transition and training experience.

Details

• Location: Navi Mumbai.
• Role may require working in rotational shifts.
• Daily interaction is with peers within Accenture before updating supervisors; limited exposure with clients and/or Accenture management.
• Individual contributor within a team, with a focused scope of work.