Healthcare Claims Analytics Specialist

Job Description

Conduent India is seeking a Healthcare Claims Analytics Specialist to support healthcare claims processing, reporting, and operational analytics for global healthcare clients. The role involves analyzing claims data, identifying trends, improving claim accuracy, and generating actionable insights for business stakeholders. The ideal candidate should possess strong analytical skills, healthcare domain knowledge, and proficiency in data reporting tools. This position offers an opportunity to contribute to process improvements while ensuring compliance with healthcare regulations and client standards.

Key Responsibilities:

Analyze healthcare claims data to identify trends, errors, and processing opportunities.
Prepare daily, weekly, and monthly analytical reports for management.
Monitor claim processing accuracy and recommend corrective actions.
Collaborate with operations teams to improve claims workflow efficiency.
Validate healthcare claims against payer guidelines and compliance standards.
Support root cause analysis for claim denials and payment issues.
Develop dashboards and performance metrics using reporting tools.
Maintain data accuracy while ensuring confidentiality of patient information.
Assist in automation and continuous process improvement initiatives.