HC & Insurance Operations Associate – Claims Adjudication | Chennai, India

Job Description

Summary

NTT DATA is looking for a detail-oriented and experienced Healthcare and Insurance Operations Associate to join its claims adjudication team in Chennai. If you have 1–3 years of hands-on experience in processing healthcare claims, working with insurance adjudication systems like Facets, and are familiar with HCFA and UB claim types, this is your opportunity to advance in a global IT services company. Join a team that values accuracy, compliance, and client satisfaction while working in a fast-paced night shift environment.


Job Details at a Glance

Job TitleHC & Insurance Operations Associate – Claims Adjudication
LocationChennai, Tamil Nadu, India
Job TypeFull-Time
ShiftAR Shift: Mon–Fri, 5:30 PM to 3:30 AM IST
Experience Required1–3 years
Preferred PlatformFacets (optional)
Claims TypesHCFA (professional), UB (institutional) (optional)
EducationOpen to Graduates & Postgraduates
IndustryHealthcare BPO, Insurance Operations

Key Responsibilities

  • Process and adjudicate health insurance claims efficiently, including approvals and denials
  • Handle a variety of claim scenarios: authorizations, coordination of benefits (COB), duplicate claims, pricing issues, corrected claims
  • Apply insurance policy knowledge (e.g., in-network vs out-of-network, coinsurance, co-pay, deductibles, exclusions, limits, state variations)
  • Ensure timely and accurate completion of all assigned transactions per SLA
  • Organize tasks effectively based on business priorities
  • Continuously expand knowledge of the healthcare insurance industry and associated services
  • Resolve claim issues using established processes and quality standards

Required Skills & Qualifications

  • 1–3 years of experience in claims adjudication or healthcare insurance operations
  • Working knowledge of Facets (preferred)
  • Familiarity with HCFA and UB medical claims is a plus
  • Excellent reading comprehension, writing, and communication skills
  • Strong analytical ability and independence in managing tasks
  • Open to graduates and postgraduates from any field
  • Willing to work night shifts, weekends, and overtime based on business needs

Preferred Skills

  • Ability to manage complex claim scenarios under tight deadlines
  • Strong understanding of US-based insurance terms and workflows
  • High attention to detail, accuracy, and compliance
  • Comfortable working with MS Office and web-based applications

Why Join NTT DATA?

  • Be part of a global leader in IT and business services, working with Fortune Global 100 clients
  • Enjoy opportunities for career advancement, training, and mentorship
  • Experience a supportive, diverse, and inclusive work environment
  • Work in a role that offers real impact on healthcare and insurance operations

Apply Now

Step into a rewarding role in claims adjudication and insurance operations.
👉 Apply now through the official NTT DATA careers page: