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Team Leader - Claims Healthcare

3 - 7 years

0 Lacs

kochi kerala

Posted:1 week ago| Platform: Shine logo

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Skills Required

uipath data analysis analytical skills communication ms office applications claims adjudication processes automation solutions

Work Mode

On-site

Job Type

Full Time

Job Description

As an experienced Claims Adjudication Specialist, you will play a crucial role in ensuring the accuracy and compliance of the claims adjudication process with industry standards. Your responsibilities will include: - Overseeing the claims adjudication process to guarantee accuracy and compliance with industry standards. - Implementing and optimizing automation solutions using UiPath to streamline claims processing. - Collaborating with cross-functional teams to enhance the efficiency of claims management. - Analyzing claims data to identify trends and areas for improvement in the adjudication process. - Providing training and support to team members on best practices in claims adjudication. - Developing and maintaining documentation for claims processing procedures and automation workflows. - Utilizing MS Office tools to generate reports and presentations for management review. - Monitoring and evaluating the performance of claims processing systems to identify potential enhancements. - Coordinating with IT teams to resolve technical issues related to claims processing systems. - Engaging with stakeholders to gather feedback and implement process improvements. - Supporting the development of strategies to reduce claim processing times and improve customer satisfaction. - Maintaining up-to-date knowledge of industry regulations and trends to ensure compliance. To excel in this role, you should meet the following qualifications: - Demonstrate proficiency in MS Office applications for data analysis and reporting. - Exhibit expertise in UiPath for developing and managing automation solutions. - Possess in-depth knowledge of claims adjudication processes and best practices. - Display strong analytical skills to identify and address process inefficiencies. - Communicate effectively with team members and stakeholders to drive process improvements.,

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