Health Insurance Claims Auditor

What role you will play in team: You will play a key role in ensuring the accuracy and compliance of health insurance claims processing within our team.

What you will do: You'll review claims for accuracy, identify potential fraud, and ensure compliance with regulations.

Key responsibility:

• Review health insurance claims for accuracy, completeness, and compliance.
• Identify and investigate potentially fraudulent claims.
• Apply relevant regulations and guidelines to claim adjudication.
• Maintain detailed records of audits and findings.
• Collaborate with claims processors and other stakeholders.
• Contribute to the development of improved auditing processes.
• Prepare reports summarizing audit findings and recommendations.

Required Qualification and Skills:

• Bachelor's degree in a related field (e.g., healthcare administration, accounting).
• Experience in auditing or claims processing (preferred).
• Strong analytical and problem-solving skills.
• Excellent attention to detail.
• Knowledge of health insurance regulations and procedures.
• Proficiency in MS Office Suite.

Benefits Included:

• Competitive salary and benefits package.
• Opportunities for professional growth and development.
• Supportive and collaborative work environment.
• Health insurance, PF, Gratuity.

A Day in the Life: A day involves reviewing claims for accuracy and compliance, investigating potential fraud, and documenting findings.