BPO HC & Insurance Operations Associate
Published date: 2026/11/07
- Location: Coimbatore, Tamil Nadu, India
Roles and Responsibilities:
• Process Adjudication claims and resolve for payment and Denials
• Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process
• Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations
• Ensuring accurate and timely completion of transactions to meet or exceed client SLAs
• Organizing and completing tasks according to assigned priorities.
• Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
• Resolving complex situations following pre-established guidelines
Requirements:
• 1-3 years of experience in processing claims adjudication and adjustment process
• Experience in professional (HCFA), institutional (UB) claims (optional)
• Both under graduates and post graduates can apply
• Good communication (Demonstrate strong reading comprehension and writing skills)
• Able to work independently, strong analytic skills
Required schedule availability for this position is Monday-Friday 5.30PM/3.30AM IST (AR SHIFT). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend’s basis business requirement
• Process Adjudication claims and resolve for payment and Denials
• Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process
• Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations
• Ensuring accurate and timely completion of transactions to meet or exceed client SLAs
• Organizing and completing tasks according to assigned priorities.
• Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
• Resolving complex situations following pre-established guidelines
Requirements:
• 1-3 years of experience in processing claims adjudication and adjustment process
• Experience in professional (HCFA), institutional (UB) claims (optional)
• Both under graduates and post graduates can apply
• Good communication (Demonstrate strong reading comprehension and writing skills)
• Able to work independently, strong analytic skills
Required schedule availability for this position is Monday-Friday 5.30PM/3.30AM IST (AR SHIFT). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend’s basis business requirement
0 page views
Related listings
-
2026/11/07
-
HIRING FRESHERS AND EXPERIENCED CANDIDATES INBPOWORK: OFFICE BASED WORK LOCATION:CHENNAI AGE:-18-54 QUALIFICATION:10 th - Any deg (p/f) SALARY:16000 - 30000 NO CONSULTANCY NO TARGET.. NO SALES ONLY INTERESTED PERSON CAN APPLY IMMEDIATELY SEND U R RESUME (OR) CONTACT. 93849571282026/11/07
-
BPO Non VoiceBPOWe have openings for international voice process (for which English is mandatory and it comes with night shift) and domestic voice processes (for which tamil language knowledge is needed, malayalam and kannada process might be available), as well as ...2026/11/07