Roles and Responsibilities: •    Process Adjudication claims and resolve for payment and Denials •    Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process •    Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations •    Ensuring accurate and timely completion of transactions to meet or exceed client SLAs  •    Organizing and completing tasks according to assigned priorities.  •    Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team  •    Resolving complex situations following pre-established guidelines Requirements: •    1-3 years of experience in processing claims adjudication and adjustment process •    Experience in professional (HCFA), institutional (UB) claims (optional) •    Both under graduates and post graduates can apply •    Good communication (Demonstrate strong reading comprehension and writing skills) •    Able to work independently, strong analytic skills **Required schedule availability for this position is Monday-Friday 5.30PM/3.30AM IST (AR SHIFT). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend’s basis business requirement.