01Overview
Roles and Responsibilities Manage a team of Adjudicators to ensure efficient claims processing and resolution. Oversee daily operations, ensuring timely completion of tasks and meeting productivity targets. Develop and implement process improvements to enhance efficiency, quality, and customer satisfaction. Collaborate with crossfunctional teams to resolve complex issues related to health insurance claims. Ensure compliance with regulatory requirements, industry standards, and company policies. Desired Candidate Profile 510 years of experience in US Healthcare Adjudication (Claims) or equivalent experience in Insurance Claims handling. Robust understanding of health claims processing, including medical terminology, regulations, and guidelines. Excellent communication skills for effective collaboration with internal stakeholders and external customers. Ability to work independently as well as lead a team towards achieving common goals. . experiance: 60 skill: Adjudication, Claims Processing, Team Management, Process Improvement, Health Insurance, Regulatory Compliance, Communication Skills, industry: Medical / Healthcare .
