Advenxa
Sr. Claims Adjudicator(Facets)
19 days ago
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Important information
Contract type:
Permanent
Salary:
₹450,000 – ₹600,000 / year
Location:
Kochi, Kerala, India
Work mode:
Onsite
Published on:
7 October 2026
What they need
Sr. Claims Adjudicator (Facets)
Location: Infopark, Kochi,Kerala
Qualification: Any Degree
Experience: 2+ Years
Salary: 4.5 LPA- 6 LPA
FACETS Experience: Preferred / Added Advantage
Shift: 6:00 PM 3:00 AM
Requirements
- Strong understanding of US healthcare insurance and claims lifecycle.
- Good knowledge of eligibility, benefits, claims payment, denials, and adjustments.
- Experience with FACETS is a strong advantage.
- Strong analytical and problem-solving skills.
- Excellent attention to detail and accuracy.
Responsibilities
- Review and adjudicate US healthcare claims accurately and efficiently.
- Verify member eligibility, benefits, coverage, and claim information.
- Analyze claims to determine appropriate payment, denial, or adjustment.
- Review and validate claims against benefit plans, provider contracts, and payer guidelines.
- Identify and resolve claim discrepancies, exceptions, and processing errors.
- Handle claim adjustments, reprocessing, and corrections as required.
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