Assistant Manager - Claims

About the role

This role is crucial in overseeing the efficient processing of healthcare claims and ensuring accurate adjudication. The Assistant Manager will lead and mentor a team, utilizing their expertise in Facet applications to streamline processes and enhance overall performance. Manage and oversee a team of claims adjudicators, providing guidance and support.

What you'll do

• Manage and oversee a team of claims adjudicators, providing guidance and support
• Ensure timely and accurate processing of healthcare claims, adhering to industry standards and regulations
• Review and analyze complex claims, making informed decisions on claim adjudication
• Implement and maintain efficient workflows and processes within the claims department
• Collaborate with cross-functional teams to resolve complex claims and escalate issues as needed

What you need

• 5–9 yrs of experience
• Claims processing
• Compliance
• Performance management
• Any graduate