Claims Adjudication jobs
Explore 11 current openings. Compare roles, companies, locations, and work options, then open any job to view the full details.
Current openings
Showing 20 jobsClaim Adjudication Lead - Auto
AssurantClaims Adjudication Lead - Auto, Assurant, GCC-India. Lead and coach team for claim adjudication, ensuring compliance, SLAs, TATs, CSAT, NPS. Manage capacity, staffing, audits, process improvement, client communication, …
Hyderabad, IndiaOn-siteFull-timeActiveAnalyst-Claims Adjudication
RTXAnalyst-Claims Adjudication at RTX supports the Commercial Support team in transforming warranty and claims processes. The role reviews and approves engine event claims, prioritizes and tracks them through approval …
Bangalore, Karnataka, IndiaOn-siteFull-timeActiveClaim Administrator
AssurantClaims Administrator responsible for managing claims from intimation to closure, ensuring SLAs, customer communication, partner oversight, fraud monitoring, escalations, and KPI achievement.
Mumbai, IndiaOn-siteFull-timeActiveExecutive Back Office Claims Medical Bill Review
EXLBack Office Claims team at EXL processes medical bill adjudication for US hospitals and doctors. The role ensures accurate payment, validates claim details, checks compensability, and coordinates with claims handlers as …
IndiaFull-timeActiveSenior Analyst Claims Adjudication
RTXSenior Analyst Claims Adjudication role at RTX focuses on reviewing and approving engine event claims, prioritizing and expediting the claims process, serving as a technical and commercial point of contact, interpreting …
Bengaluru, Karnataka, IndiaHybridFull-timeActiveClaims Lead Representative
CignaClaims SME on Cigna Health Solutions India’s Claims Administration team, driving first‑time‑right adjudication for complex professional and institutional claims. The role guides frontline staff, escalates issues, and …
Bengaluru,IndiaOn-siteFull-timeActiveClaims Auditor
Cohere HealthPayment Integrity team ensures accurate coding and reimbursement across outpatient, professional, and inpatient claims. The Claims Auditor conducts comprehensive coding reviews, utilizes DRG encoder tools, and crafts …
Hyderabad, Telangana, IndiaRemoteFull-timeActiveReturnship - SME-Claims HC
CognizantTechnology & Engineering team at Cognizant focuses on health care claims adjudication. The Returnship SME-Claims role serves as a subject matter expert for health care claims, reviewing complex claims, ensuring HIPAA …
Kochi, Kerala, IndiaHybridFull-timeActiveClaims Representative
CignaCigna Health Solutions India’s Claims Representative team drives accurate and timely processing of customer and provider claims. The role focuses on resolving complex claim issues, ensuring compliance with US healthcare …
Bengaluru,IndiaOn-siteFull-timeActiveClaims Supervisor
CignaClaims Operations at Cigna Healthcare oversees global insurance claims processing. The Claims Supervisor leads a team to ensure accurate, timely claim handling, drives quality and compliance, and implements continuous …
Bengaluru,IndiaOn-siteFull-timeActiveClaims Associate III
AllstateAllstate Claims Associate III is responsible for analyzing and adjudicating insurance claims in accordance with policy provisions, working closely with medical and leadership teams. The role requires interpreting laws, …
Bengaluru, IndiaHybridFull-timeActiveDecision Scientist
Fractal AnalyticsDecision Scientist at Fractal Analytics leading end‑to‑end problem solving in medical claims adjudication. Owns initiatives to improve auto‑adjudication, reduce rework and denials, and modernize integrations. Partners …
Bengaluru, IndiaOn-siteFull-timeActiveClaims Senior Representative
CignaCigna Healthcare Claims Team processes EU insurance claims for individuals, employers, groups and providers. The Senior Representative adjudicates medical, dental and vision claims, monitors high‑cost cases, ensures …
Bengaluru,IndiaActiveSr. Analyst
RTXRTX’s Commercial Support team transforms complex claims into a streamlined, automated flow. The Sr. Analyst reviews and approves engine event claims, prioritizes and tracks approvals, and ensures customer‑centric KPIs …
Bengaluru, Karnataka, IndiaHybridFull-timeActiveSpec Claims Examiner
Empower RetirementSpec Claims Examiner on Empower’s Claims Examiner team, reviewing, investigating and adjudicating Canadian health and dental claims to ensure accurate payment decisions. Works in a high-volume, detail-oriented …
KA Bangalore, IndiaOn-siteFull-timeActiveProcess Associate
Sun Life FinancialProcess Associate at Sun Life Financial supports the claims processing function by accurately indexing and adjudicating customer claims. The role requires a graduate with 1–2 years of customer‑service experience in …
Bengaluru, Karnataka, IndiaOn-siteFull-timeActiveClaims Representative
CignaClaims Team at Cigna Health Solutions India focuses on processing and resolving customer and provider submitted claims with speed and accuracy. The role handles complex claim tasks, researches issues, and collaborates …
Bengaluru,IndiaOn-siteFull-timeActiveAdjudicator (Disagreement Resolution + Guideline Governance)
CodvoAdjudicator (Disagreement Resolution + Guideline Governance) at Codvo in Pune. Lead the adjudication of label disagreements in complex annotation tasks, ensuring high-quality ground truth. Resolve disputes using …
Pune, Maharashtra, IndiaOn-siteFull-timeActiveClaims Lead Representative
CignaClaims Operations team at Cigna Health Solutions India drives first‑time‑right adjudication of complex healthcare claims. The Claims Lead Representative serves as the SME, guiding frontline staff, coaching teams, and …
Bengaluru,IN,IndiaOn-siteFull-timeActiveTrainee, Claims
Aditya Birla Capital LtdClaims Unit at Aditya Birla Capital Ltd processes insurance claims for Sun Life Insurance. The Trainee assesses, approves, and settles valid claims, prepares claim processing sheets, follows up for documentation, and …
Thane, Maharashtra, IndiaOn-siteFull-timeActive