Chennai Tamil Nadu Claims specialist Jobs – 72 Open Jobs Today

Associate II - HealthPlan (Claim Adjudication)
UST —Chennai, Tamil Nadu
- Bachelor's degree
- Communication skills
Quick apply
Human Resources Operations Specialist
Appian Corporation —Chennai, Tamil Nadu
- Customer service
- Master's degree
- Bachelor's degree
- Health insurance
- Flexible schedule
Quick apply
Billing Specialist
Sectigo —Chennai, Tamil Nadu
- ₹6,00,000 - ₹7,00,000 a year
- Full-time
- Microsoft Excel
- Customer service
- Microsoft Office
Quick apply
SPE-Policy Servicing
Cognizant —Chennai, Tamil Nadu
- Full-time
- Microsoft Word
- Word processing
- English
11d
Senior Executive – Subrogation Specialist
EXL Service —Chennai, Tamil Nadu
- Weekend availability
- Microsoft Word
- English
- Microsoft Office
1h
Senior Executive - Subrogation Specialist
EXL Service —Chennai, Tamil Nadu
- Weekend availability
- Microsoft Word
- English
- Microsoft Office
1h
Associate II - BPM
UST —Chennai, Tamil Nadu
- Night shift
- Analysis skills
- Bachelor's degree
- Communication skills
Quick apply
Sr. Executive – Subro Specialist
EXL Service —Chennai, Tamil Nadu
- Weekend availability
- Microsoft Word
- English
- Microsoft Office
1h
Senior Specialist - Program & Project Management
LTM —Chennai, Tamil Nadu
- Azure
- Agile
- Internship
Quick apply
AR Analyst - Prior Authorisation Specialist
Starlink Healthcare Administration —Chennai, Tamil Nadu
- ₹25,000 - ₹35,000 a month
- Full-time
- Microsoft Office
- 12th Pass
- Bachelor's degree
Quick apply
RC FS -BTI INS -Life and Annuity -Senior
EY —Chennai, Tamil Nadu
- Azure
- AWS
- Project management
- Health insurance
Project Planning and Controls Specialist - HVDC
Hitachi —Chennai, Tamil Nadu
- Full-time
- Remote
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
13d
Senior Process Associate - Claims Adjudicator
CogNet —Ambattur, Chennai, Tamil Nadu
- Full-time
- English
- Microsoft Office
- Analysis skills
13d
Specialist II - Data Science
UST —Chennai, Tamil Nadu
- Computer Science
- Master's degree
- SQL
Quick apply
Denials Specialist
Ventra Health, Inc. —Guindy, Chennai, Tamil Nadu
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Basic math
Specialist - Package Implementation
LTM —Chennai, Tamil Nadu
- Microsoft Office
- Analysis skills
- JavaScript
Quick apply
Project Planning and Controls Specialist - HVDC
Hitachi Rail —Chennai, Tamil Nadu
- Full-time
- Remote
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
13d
Technical Support Specialist
Kone —Chennai, Tamil Nadu
- Full-time
- English
- Master's degree
- Electrical experience
12d
Senior Director - Construction Management
Cognizant —Chennai, Tamil Nadu
- Full-time
- Hybrid work
- PMP
- Master's degree
- Project management
Denials Specialist Trainee
Ventra Health, Inc. —Perungudi, Chennai, Tamil Nadu
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Basic math

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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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Refine Your Search

claims specialist jobs in chennai tamil nadu

Associate II - HealthPlan (Claim Adjudication)

Human Resources Operations Specialist

Billing Specialist

SPE-Policy Servicing

Senior Executive – Subrogation Specialist

Senior Executive - Subrogation Specialist

Associate II - BPM

Sr. Executive – Subro Specialist

Senior Specialist - Program & Project Management

AR Analyst - Prior Authorisation Specialist

RC FS -BTI INS -Life and Annuity -Senior

Project Planning and Controls Specialist - HVDC

Senior Process Associate - Claims Adjudicator

Specialist II - Data Science

Denials Specialist

Specialist - Package Implementation

Project Planning and Controls Specialist - HVDC

Technical Support Specialist

Senior Director - Construction Management

Denials Specialist Trainee

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