Health Admin Services Associate
Accenture
Bengaluru1–3 yrs1h agovia Naukri
About Accenture
Accenture is a global professional services company with leading capabilities in digital, cloud, and security. We offer Strategy and Consulting, Technology and Operations services, and Accenture Song. Our people deliver on the promise of technology and human ingenuity, serving clients in more than 120 countries.
About the Role
This role involves the administration of health, life, and property & casualty claims. Activities include core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation. You will solve routine problems largely through precedent and referral to general guidelines. You will be an individual contributor as part of a team with a predetermined, focused scope of work.
Key Responsibilities
- Administration of health, life, and property & casualty claims.
- Activities involved in core claim processing:
- Registering claims
- Editing & verification
- Claims evaluation
- Examination & litigation
Requirements & Tech Stack
- Claims Appeals
- Claims Administration
- Claims Adjustments
- Claims Analysis
Qualifications
- Any Graduation
- 1 to 3 years of experience in:
- healthcare appeals
- claims processing
- medical billing
- or a similar role within a health insurance company
Additional Details
- Shift Timings: 9 pm to 6 am IST (US PST Time zone 1 hr later during Daylight Saving).
- RTO: 100% RTO for the first 6 months, then Hybrid based on performance.
- Expected interactions: Within your own team and direct supervisor.
- Decision impact: Primarily impacts your own work.
- Work style: Individual contributor within a team.
- Instructions: Detailed to moderate level of instruction on daily work, detailed instruction on new assignments.