Kolathur, Chennai, Tamil Nadu School administration Jobs – 98 Open Jobs Today

Claims Examiner II
Smart Data Solutions LLC —Perungudi, Chennai, Tamil Nadu
- Hybrid work
- 12th Pass
- Communication skills
Quick apply
Associate III - BPM - Claim Adjudication - Chennai / Coimbatore
UST —Chennai, Tamil Nadu
- 12th Pass
Quick apply
6h
Computer Lab Incharge
FIITJEE GLOBAL SCHOOL —Chennai, Tamil Nadu
- ₹20,000 - ₹30,000 a month
- Full-time
- Computer Science
- Software troubleshooting
- Laboratory experience
- Health insurance
- Paid time off
Quick apply
Mobility Administration
Tata Consultancy Services —Chennai, Tamil Nadu
- Bachelor's degree
- Human resources
Lecturer/Assistant Professor
ISSM Business School —Perungudi, Chennai, Tamil Nadu
- ₹3,00,000 - ₹6,00,000 a year
- Full-time
- Doctoral degree
- Research
- Master's degree
Quick apply
4d
Office Assistant Digital Marketing
The Ripple Effect —Mogappair West, Chennai, Tamil Nadu
- ₹10,000 - ₹15,000 a month
- Email
- Microsoft Word
- Microsoft Excel
- English
Quick apply
STEM Trainer (Chennai)
Bhumi —Chennai, Tamil Nadu
- ₹3,20,000 - ₹4,20,000 a year
- Full-time
- English
- Microsoft Office
- Computer networking
Campaign Strategy Specialist
Accenture —Chennai, Tamil Nadu
- Full-time
- Data analysis skills
- Master's degree
- Project management
9d
Gold Appraiser
Skilltechs —Chennai, Tamil Nadu
- ₹24,000 - ₹40,000 a month
- Full-time
- Marketing
- 12th Pass
- Bachelor's degree
- Health insurance
Quick apply
Outlet Manager
NOVOTEL —Chennai, Tamil Nadu
- Full-time
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
Quick apply
Hostel Warden
Sevalaya - NGO —Chennai, Tamil Nadu
- ₹20,000 - ₹25,000 a month
- Full-time
- Microsoft Office
- Bachelor's degree
- Computer skills
- Health insurance
- Life insurance
Quick apply
Physical education Teacher
RISHS INTERNATIONAL SCHOOL —Mangadu, Chennai, Tamil Nadu
- ₹11,400.93 - ₹35,389.40 a month
- Full-time
- 12th Pass
- Bachelor's degree
- In-person
Quick apply
Kindergarten Teacher
SV HIGH GLOBAL SCHOOL, ARUMBAKKAM —Arumbakkam, Chennai, Tamil Nadu
- ₹15,000 - ₹18,000 a month
- Email
- English
- Master's degree
- Education
Quick apply
16h
Financial Literacy Coach
Readyzone solutions pvt ltd —Chennai, Tamil Nadu
- ₹15,340.29 - ₹25,000.00 a month
- Full-time
- Public speaking
- Finance
- Master's degree
Quick apply
11d
Montessori Teacher
SPARTAN INTERNATIONAL SR. SEC.SCHOOL —Poonamallee, Chennai, Tamil Nadu
- From ₹16,000 a month
- Full-time
- English
- Bachelor's degree
- In-person
Quick apply
Outreach Marketing Specialist
Image Infotainment Limited —Chennai, Tamil Nadu
- ₹20,000 - ₹30,000 a month
- Full-time
- Marketing
- Microsoft Office
- Business development
Quick apply
13d
Assistant Manager - Housekeeping
Marriott International, Inc —Chennai, Tamil Nadu
- Full-time
- No experience needed
- 12th Pass
- Cleaning
9d
Physical Education Teacher
SSP VIDHYASHRAM —Tambaram, Chennai, Tamil Nadu
- Up to ₹25,000 a month
- Full-time
- Bachelor's degree
- In-person
- Communication skills
Quick apply
Sales Officer
GuiRes Solutions Pvt Ltd —Nungambakkam, Chennai, Tamil Nadu
- ₹15,000 - ₹25,000 a month
- Full-time
- CRM software
- Sales
- Research
- Health insurance
Quick apply
4d
Art Teacher - perumbakkam
CASAGRAND INTERNATIONAL SCHOOL —Perumbakkam, Tamil Nadu
- ₹20,000 - ₹30,000 a month
- Full-time
- Math
- Bachelor's degree
- In-person
Quick apply

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Claims Examiner II

Smart Data Solutions LLC -
Perungudi, Chennai, Tamil Nadu

Quick apply

Job details

Qualifications

Content management systems
12th Pass
CPT coding
Communication skills

Full job description

Claims Examiner II

Smart Data Solutions, a leading provider of data management, claim routing and workflow solutions to health plans and TPAs, is looking for a Claims Examiner II, to join our team!

What you’ll be doing?

Summary

The Claims Examiner II is responsible for accurately reviewing, adjudicating, and resolving moderately complex medical, dental, and vision claims in accordance with client-specific policies, regulatory guidelines, and standard operating procedures. Depending on business needs, this role may also support claim repricing, provider and member demographic updates, and related claim administration tasks. The Claims Examiner II works independently and may assist with escalated issues or mentoring junior staff.

Duties and Responsibilities:

Review, research, and adjudicate healthcare claims (professional, institutional, dental, vision) based on plan documents, contracts, and applicable regulations (e.g., CMS, HIPAA).
Process claims using standard claim forms (CMS-1500, UB-04, ADA) and appropriate coding systems (ICD-10, CPT, HCPCS, Modifiers).
Resolve system pends, edits, and denials through investigative research and documentation.
Apply proper payment methodologies including fee schedules, capitation, COB, and other reimbursement rules.
Update provider records to ensure accurate claims routing and payment
Process updates to member information in alignment with system rules and business requirements
Independently manage assigned claims to meet turnaround time and quality standards
Respond to inquiries or escalations, including shared email inboxes, within established SLAs.
Accurately document actions and resolutions in claim systems, ensuring transparency and audit readiness.
Collaborate with internal departments to resolve cross-functional claim issues.
Maintain updated knowledge of client-specific workflows, benefit plans, policies, and procedures.
Support process improvement activities, peer review tasks, and training efforts as needed.
Ensure compliance with data privacy standards and internal security protocols (HIPAA, etc.).
Participate in department meetings, calibration sessions, and continuing education.

Qualifications

High school diploma or equivalent required
2+ year(s) of experience in healthcare claims processing
Experience with CMS-1500, UB-04 and ADA forms
Familiarity with claims lifecycle workflows and COB
Knowledge and experience with medical code sets ICD 10, HCPCS, CPT and modifiers
Experience in repricing or demographic updates
Strong attention to detail and accuracy
Effective written and verbal communication
Ability to prioritize work and meet deadlines in a high-volume environment
Comfortable working independently and adapting to process changes

Preferred candidates possess:

3+ year(s) of experience in health plan or TPA claims environment
Knowledge of Medicare, Medicaid, or other government programs
Exposure to repricing tools or claim pricing methodologies

Why this is the company for you?

Top Benefits & Perks:

A company culture that is authentic, innovative, and collaborative! Our most powerful strength is our people! We build impactful solutions for our customers - their success is our success!
A professional development and growth-oriented workplace
Work-life balance with a 5-day work week and leaves as per the Labor Law of India
A flexible environment with hybrid and remote work opportunity.

Location: 6th Floor, Block 4A, Millenia Business Park, Phase II MGR Salai, Kandanchavadi, Perungudi, Chennai- 600096

Who is Smart Data Solutions?

Smart Data Solutions (SDS) is a technology leader in healthcare process automation and interoperability. As a strategic partner, SDS helps clients digitally transform their operations, delivering tangible value through reduced costs, streamlined workflows, and an improved customer experience. With data, AI, and automation at its core, SDS provides solutions in Digital Mailroom and Data Capture, Clearinghouse, Intelligent Medical Records, Prior Authorization and Claim Operations. Trusted by over 500 clients—including multiple Blue Cross Blue Shield plans, regional health plans, TPAs, providers, and healthcare partners—SDS streamlines complex front, middle, and back-office operations.

Smart Data Solutions is an equal opportunity employer.

All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or other legally protected status.

4PM - 1 AM

Quick apply

Refine Your Search

school administration jobs in kolathur, chennai, tamil nadu

Claims Examiner II

Associate III - BPM - Claim Adjudication - Chennai / Coimbatore

Computer Lab Incharge

Mobility Administration

Lecturer/Assistant Professor

Office Assistant Digital Marketing

STEM Trainer (Chennai)

Campaign Strategy Specialist

Gold Appraiser

Outlet Manager

Hostel Warden

Physical education Teacher

Kindergarten Teacher

Financial Literacy Coach

Montessori Teacher

Outreach Marketing Specialist

Assistant Manager - Housekeeping

Physical Education Teacher

Sales Officer

Art Teacher - perumbakkam

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