Chennai Tamil Nadu Claims associate Jobs – 77 Open Jobs Today

Associate II - HealthPlan (Claim Adjudication)
UST —Chennai, Tamil Nadu
- Bachelor's degree
- Communication skills
Quick apply
Associate II - BPM
UST —Chennai, Tamil Nadu
- Night shift
- Analysis skills
- Bachelor's degree
- Communication skills
Quick apply
Health Operations New Associate
Accenture —Chennai, Tamil Nadu
- Full-time
Senior Process Associate
HCLTech —Chennai, Tamil Nadu
- Microsoft Excel
- Finance
- Analysis skills
- Health insurance
Banking Operations Associate
Accenture —Chennai, Tamil Nadu
- Full-time
- English
- Agile
- Communication skills
Claims Process Executive
Bigfix Gadget Care LLP —Chennai, Tamil Nadu
- Full-time
- Microsoft Excel
- ERP systems
- Master's degree
Quick apply
11d
Business Support Associate
NTT Ltd —Chennai, Tamil Nadu
- Night shift
- Salesforce
- English
- Windows
5d
Senior Process Associate - Claims Adjudicator
CogNet —Ambattur, Chennai, Tamil Nadu
- Full-time
- English
- Microsoft Office
- Analysis skills
14d
Banking Operations New Associate
Accenture —Chennai, Tamil Nadu
- Full-time
- Agile
- Banking
Human Resources Assistant
Smart Data Solutions LLC —Perungudi, Chennai, Tamil Nadu
- Remote
- English
- Microsoft Office
- Bachelor's degree
Quick apply
Associate AR
Guidehouse India Pvt Ltd —Chennai, Tamil Nadu
- Full-time
- Microsoft Office
- Analysis skills
- Bachelor's degree
14d
GBS Preferred Cust Associate
UPS —Chennai, Tamil Nadu
- Full-time
- Customer service
- 12th Pass
- Communication skills
Walk in International voice Night Shift
Omega —Chennai, Tamil Nadu
- ₹18,000 a month
- Full-time
- Walk-in
- Master's degree
- Bachelor's degree
- Computer skills
- Commuter assistance
Quick apply
Denial analyst
Zenmed Solutions Private Limited —Chennai, Tamil Nadu
- ₹18,000 - ₹30,000 a month
- Full-time
- Bachelor's degree
- In-person
- Medical terminology
- Paid sick time
Quick apply
4d
Trainee Process Consultant
Sagility —Chennai, Tamil Nadu
- Microsoft Excel
- English
- Microsoft Office
Business Advisory New Associate
Accenture —Chennai, Tamil Nadu
- Full-time
- Agile
- Banking
AR Associate
as medical codingtech —Chennai, Tamil Nadu
- Analysis skills
- Communication skills
AsstMgr-Human Resources
Marriott International, Inc —Chennai, Tamil Nadu
- Full-time
- No experience needed
- 12th Pass
- Human resources
Training Senior Associate
NTT Ltd —Chennai, Tamil Nadu
- Weekend availability
- Microsoft Powerpoint
- Microsoft Excel
- Communication skills
Collections Representative
Optum —Chennai, Tamil Nadu
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Health insurance

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Associate II - HealthPlan (Claim Adjudication)

UST -
Chennai, Tamil Nadu

Quick apply

Job details

Qualifications

Education administration
Bachelor's degree
Communication skills

Full job description

Role description

Job Description – Provider Recredentialing Specialist Shift Time : 5:30pm to 2:30am IST Role Summary The Provider Recredentialing Specialist is responsible for managing the end-to-end recredentialing lifecycle for healthcare providers to ensure compliance with payer, regulatory, and accreditation requirements. The role focuses on periodic validation of provider credentials, documentation updates, and ongoing monitoring to maintain an accurate and compliant provider network. Recredentialing is a cyclical process that ensures providers continue to meet required standards through updated verification and monitoring activities. Key Responsibilities 1. Recredentialing Lifecycle Management Manage end-to-end provider recredentialing processes in line with payer and regulatory timelines Initiate recredentialing cases based on due dates, expirable, and renewal triggers Track and manage provider credential expirations (licenses, certifications, malpractice insurance) 2. Documentation & Application Review Collect and review recredentialing applications via systems like CAQH or internal platforms Validate completeness and accuracy of provider documentation Follow up with providers for missing or inconsistent information 3. Primary Source Verification (PSV) Perform PSV for: Licensure Board certification Education & training Work history Validate data from authoritative sources (State Boards, NPPES, OIG, NPDB, etc.) Ensure compliance with regulatory and payer requirements 4. Background & Compliance Checks Conduct sanction and exclusion checks (OIG, NPDB, Medicare/Medicaid) Identify discrepancies, red flags, or compliance risks Escalate issues for further clinical or committee review 5. Provider Data Validation & Quality Checks Ensure accuracy of provider profile (specialty, affiliations, demographics, practice locations) Perform quality audits on completed credentialing files Maintain documentation integrity for audit readiness 6. Workflow Management & Productivity Manage assigned inventory/queue ensuring SLA/TAT adherence Maintain productivity and quality benchmarks (first-time-right processing) Support backlog clearance and aging reduction initiatives 7. Stakeholder Coordination Interact with providers, internal teams, and external verification agencies Support escalations and provide status updates to clients/stakeholders Collaborate with QA, compliance, and operations teams 8. Reporting & Governance Update dashboards and trackers for recredentialing status and closures Highlight risks related to expirable, delays, or compliance gaps Support audit readiness and regulatory reviews Skills & Competencies Strong knowledge of: Provider Credentialing & Recredentialing lifecycle PSV (Primary Source Verification) CAQH, NPPES, NPDB, OIG processes Understanding of US healthcare payer operations High attention to detail and documentation accuracy Analytical & problem-solving mindset Strong communication (provider outreach, escalations) Ability to work with high-volume operations and SLAs Experience & Qualification Experience: 3–6+ years in Provider Credentialing/Recredentialing (BPO/US Healthcare) Education: Bachelor’s degree (Healthcare/Admin/Business preferred) KPIs / Performance Metrics Recredentialing TAT adherence PSV accuracy & compliance score Documentation quality / audit pass rate Queue management (aging, backlog reduction) Value Add (for BPO Portfolio / RFP positioning) Ensures regulatory compliance and reduces audit risk Improves provider network accuracy and reliability Minimizes claim denials due to credentialing gaps Enhances provider onboarding continuity and payer alignment

Skills

Provider Credentialing, NPPES, NPDB, Healthcare Systems

About UST
UST is a global digital transformation solutions provider. For more than 20 years, UST has worked side by side with the world’s best companies to make a real impact through transformation. Powered by technology, inspired by people and led by purpose, UST partners with their clients from design to operation. With deep domain expertise and a future-proof philosophy, UST embeds innovation and agility into their clients’ organizations. With over 30,000 employees in 30 countries, UST builds for boundless impact—touching billions of lives in the process.

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claims associate jobs in chennai tamil nadu

Associate II - HealthPlan (Claim Adjudication)

Associate II - BPM

Health Operations New Associate

Senior Process Associate

Banking Operations Associate

Claims Process Executive

Business Support Associate

Senior Process Associate - Claims Adjudicator

Banking Operations New Associate

Human Resources Assistant

Associate AR

GBS Preferred Cust Associate

Walk in International voice Night Shift

Denial analyst

Trainee Process Consultant

Business Advisory New Associate

AR Associate

AsstMgr-Human Resources

Training Senior Associate

Collections Representative

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