Claim Processor

Job Title: Claims Processor US Healthcare (Facets)

Experience: 35 Years
Locations: Bangalore / Trivandrum / Chennai
Work Mode: Hybrid

Mandatory Skills:

• US Healthcare Claims Processing
• TriZetto Facets
• Claims Adjudication and Claims Management
• US Healthcare Payer / Insurance Domain
• Claims Validation and Processing

Job Description:

We are looking for an experienced Claims Processor with 35 years of hands-on experience in US healthcare claims processing and working knowledge of the Facets platform.

Key Responsibilities:

• Process and adjudicate healthcare claims as per US healthcare guidelines.
• Work on claims validation, review, corrections, and resolution of discrepancies.
• Use the Facets system for claims processing and related activities.
• Ensure accuracy, quality, and compliance with client requirements.
• Meet productivity, turnaround time (TAT), and quality targets.

Eligibility: Candidates must have relevant US healthcare claims processing experience and Facets skills.

Interested candidates can share their updated resumes.