Manager - Claims Audit

** - Ensure meticulous processing of client-specific medical carrier claim files - Review plan benefit details and analyze claims data using analytical tools - Interpret and apply carrier contracts and policies to ensure proper claims handling - Address audit findings and inconsistencies with carrier audit teams - Complete in-depth audit/review of selected sample claims within stipulated time frame - Maintain up-to-date knowledge of best practices related to health benefit claims **

** - Graduate with minimum 5-8 years of experience in the healthcare industry - Strong understanding of the U.S. healthcare system and experience with carriers - Critical thinking skills and discretion in assessing grey-area situations - Strong sense of accountability and solution-oriented mindset - Intermediate to advanced knowledge in MS Excel and strong communication skills The company, Marsh McLennan, is a global leader in risk, strategy, and people, advising clients in 130 countries. They offer professional development opportunities, interesting work, and a vibrant and inclusive culture. Marsh McLennan is committed to embracing a diverse, inclusive, and flexible work environment, where all colleagues are expected to work in the office at least three days per week. If you are looking for a role where you can contribute to a dynamic team, work on challenging projects, and make a meaningful impact, this opportunity at Mercer within Marsh McLennan may be the right fit for you. You will be joining the Health Operations team at Mercer in a hybrid role based in Noida. As a Lead Specialist / Manager US Health & Benefits Claims Audit, you will audit medical claims from health insurance carriers, interpret carrier contracts and policies, and collaborate with carrier audit teams to ensure proper claims handling. Your responsibilities will include meticulously processing client-specific medical carrier claim files, analyzing claims data, interpreting coding, and addressing audit findings. You will need to maintain up-to-date knowledge of health benefit claims best practices and industry regulations. The ideal candidate will have a Graduate degree with 5-8 years of overall experience, a strong understanding of the U.S. healthcare system, and experience working with carriers. Critical thinking, discretion in assessing situations, accountability, and strong communication skills are essential. Intermediate to advanced knowledge of MS Excel is a must, along with the ability to adapt to multiple processing systems and work in shifts. **

** - Ensure meticulous processing of client-specific medical carrier claim files - Review plan benefit details and analyze claims data using analytical tools - Interpret and apply carrier contracts and policies to ensure proper claims handling - Address audit findings and inconsistencies with carrier audit teams - Complete in-depth audit/review of selected sample claims within stipulated time frame - Maintain up-to-date knowledge of best practices related to health benefit claims **

** - Graduate with minimum 5-8 years of experience in the healthcare industry - Strong understanding of the U.S. healthcare system and experience with carriers - Critical thinking skills and discretion in assessing grey-area situations - Strong sense of accountability and solution-oriented mindset - Intermediate to advanced knowledge in MS Excel and strong communication skills The company, Marsh McLennan, is a global leader in risk, strategy, and people, advising clients in 130 countries. They offer professional development opportunities, interesting work, and a vibrant and inclusive culture. Marsh McLennan is committed to embracing a diverse, inclusive, and flexible work environment, where all colleagues are expected to work in the office at least three days per week. If you are looking for