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Business Analyst for Claims Management -INSURANCE ( REMOTE)

ADV Techminds·Remote

Pay not stated4–5 yrsFull-timeRemote
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About the role

Owns design and documentation of claims processing workflows, including automation, workload management, and TPA integration, ensuring compliance with IRDAI and SLA

What you'll do

  • Define workload balancing logic and queue management rules for claims teams
  • Design data and process interfaces with TPAs (EDI/API structures)
  • Define claim status taxonomy, turnaround times, and escalation hierarchies
  • Support configuration of fraud triggers and quality checks
  • Ensure regulatory compliance for cashless and reimbursement claim processing

What you need

  • 4–5 yrs of experience
  • Claims processing
  • Insurance
  • Stakeholder management
  • Any graduate

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