The cleaned title is Associate Claims

As an Associate - Claims at Carelon Global Solutions India, you will be responsible for all Processing level delivery & performance as per set SLA parameters. Reporting to the Team Lead, Business Operations, you must have a deep understanding of business delivery, metrics, and leadership. Your role will involve briefing and delivering all in-house process requirements, as well as coordinating with onshore partners when necessary. Your responsibilities will include processing/adjusting claims submitted by members/providers, conducting research to resolve claim-related issues, evaluating discrepancies, making decisions based on received information, and collaborating with SME/OE to identify process gaps and simplify procedures. You should be able to handle complex scenarios and different states effectively. To qualify for this role, you should hold a Bachelor's or Master's degree, preferably non-BTech, with a strong knowledge of the healthcare domain. You are required to have a minimum of 1 to 4 years of experience in Claims/Adjustment processing within the US Healthcare sector. You should be familiar with MS Office basics, possess excellent communication and comprehension skills, and be able to evaluate key technical calculations for basic process delivery. Additionally, working knowledge of technologies related to persistence, search, graph, and distributed technologies is desirable. At Carelon, we believe in offering limitless opportunities to our associates, aligning with our brand belief that limitless minds are our most valuable asset. We provide an environment that nurtures growth, well-being, purpose, and a sense of belonging. Our focus on learning and development, innovation, holistic well-being, rewards, and recognition sets us apart as an employer of choice. We are committed to fostering an inclusive culture and providing reasonable accommodations to ensure that every individual can contribute their best. As an Equal Opportunity Employer, we celebrate diversity and offer support to individuals with disabilities through our Reasonable Accommodation Request Form. If you are passionate about making a difference in healthcare operations and possess the required qualifications and skills, we invite you to join our team as a dedicated Associate - Claims at Carelon Global Solutions India.,