Talent.com
Claims Clerk

Claims Clerk

Scry AIbelgaum, karnataka, in
26 days ago
Job description

Position : Claims Clerk – Subject Matter Expert (SME)

Location : India (Remote)

Employment Type : Full-Time

Schedule : Monday to Friday, Day Shift

Experience : 2+ years in insurance / TPA claims operations with SME-level proficiency

Company Description

Scry AI is a research-led enterprise AI company that builds intelligent platforms to drive efficiency, insight, and compliance. Our platforms Collatio®, Auriga®, and Concentio® help insurers and TPAs automate document intake, validation, reconciliation and deliver real-time intelligence.

Role Overview

As a Claims Clerk (SME), you’ll be the go-to expert for end-to-end claims administration, standardizing intake, verification, and adjudication preparation while improving accuracy, turnaround time, and audit readiness. You’ll translate domain rules into clear SOPs, tagging schemas, and validation checklists that power Scry AI products (Collatio® for document intelligence and Auriga® for knowledge assistance), and you’ll coach the team on best practices.

Key Responsibilities

Operational Excellence & Governance

  • Own SOPs, checklists, and quality gates for claims intake, validation, and file preparation.
  • Define and maintain rules libraries (coverage, eligibility, deductibles, exclusions) and calculators.
  • Run QC audits, measure TAT / accuracy, and drive corrective actions and RCA / postmortems.

Claims Processing (SME Hands-On)

  • Review submissions; verify policyholder / provider data, coverage terms, and completeness.
  • Extract and validate structured fields (dates, amounts, codes); reconcile discrepancies.
  • Prepare adjudication-ready files; raise RFIs and track responses to closure.
  • AI / Automation Enablement

  • Partner with product / data teams to design field taxonomies, label policies, and validation rules.
  • Use Collatio® to auto-capture claim fields, BOM-like itemizations, and EOB details; validate outputs.
  • Curate ground-truth datasets and feedback loops to reduce extraction errors and false positives.
  • Compliance, Audit & Fraud Vigilance

  • Ensure documentation meets regulatory / privacy standards (IRDAI; HIPAA / GDPR as applicable).
  • Maintain audit trails, revision histories, and communication records.
  • Identify fraud / abuse indicators; escalate and document investigative notes.
  • Knowledge & Training

  • Create playbooks, macros / templates, and FAQ articles for Auriga® knowledge base.
  • Deliver training, shadowing, and certification paths for clerks / new hires.
  • Act as SME on customer calls, RFIs, and process transition / wrap-up meetings.
  • Required Qualifications & Skills

  • 2+ years in claims operations (health, motor, property) at an insurer / TPA / BPO.
  • Strong command of policy terms, EOBs; health lines : familiarity with CPT / ICD codes.
  • Proven record meeting TAT / accuracy targets; expert in documentation and QC.
  • Proficiency with spreadsheets, PDFs, claims / CRM systems; comfort with high-volume queues.
  • Excellent written / verbal communication; ability to convert domain rules into clear SOPs.
  • Nice to Have

  • Experience with AI / IDP tools (e.g., Collatio®) and rule-based adjudication engines.
  • Exposure to fraud frameworks and evidence handling.
  • Process improvement certifications (Lean, Six Sigma Yellow / Green Belt).
  • Our Ideal Candidate

  • Treats every claim as data : structured, validated, and audit-ready.
  • Uplifts teams through standards, training, and measurable quality improvements.
  • Comfortable collaborating with product / data engineers to make automation stick.
  • Tip for Candidates

    If this job opening excites you, follow our page to stay connected

    Create a job alert for this search

    Clerk • belgaum, karnataka, in

    Related jobs
    • Promoted
    General & Commercial Insurance Specialist

    General & Commercial Insurance Specialist

    Money Maximising Advisors LimitedBelgaum, IN
    Money Maximising Advisors is a rapidly growing Irish financial services firm committed to delivering expert advice and tailored insurance solutions. We help clients across Ireland protect their asse...Show moreLast updated: 1 day ago
    • Promoted
    Salesforce QA Engineer- Contract

    Salesforce QA Engineer- Contract

    Gravity Infosolutions, Inc.Belgaum, IN
    Remote with two days a month at offices (Del, Blore, Pune, Chennai).Ability to generate test cases by referring to the functional requirements and / or user stories. Strict adherence to traceability.A...Show moreLast updated: 4 days ago
    • Promoted
    Compliance Specialist – Affordable Housing (LIHTC)

    Compliance Specialist – Affordable Housing (LIHTC)

    Castellan Real Estate PartnersBelgaum, IN
    Compliance Specialist – Affordable Housing (LIHTC).Remote (Based in India, supporting California projects).Full-time | Must be available to work in Pacific Standard Time (PST) overlap hours.We are ...Show moreLast updated: 4 days ago
    • Promoted
    Pricing Specialist - (USA)

    Pricing Specialist - (USA)

    PlattonBelgaum, IN
    Pricing Specialist – Ocean / Air / Drayage & Multimodal Freight (U.Our services include air and ocean freight forwarding, customs brokerage, contract logistics, warehousing and distribution, truckl...Show moreLast updated: 18 days ago
    • Promoted
    Contract -Salesforce CPQ Data Migration Specialist

    Contract -Salesforce CPQ Data Migration Specialist

    KPG99 INCBelgaum, IN
    Role : Salesforce CPQ Data Migration Specialist.Location Offshore Remote (India) Must live In India.Duration 6 Months-Can be extented. Salesforce CPQ data integrations.Products, Price Books, Price Ru...Show moreLast updated: 3 days ago
    • Promoted
    Mortgage Loan Closer

    Mortgage Loan Closer

    FirstsourceBelgaum, IN
    Walk-in Drive – US Mortgage Process @ Firstsource | Work from Office – Bangalore.Warm Greetings from Firstsource!.Dates : 3rd Nov to 7th Nov 2025. Location : Bangalore (The Residences at Brigade Tech ...Show moreLast updated: 4 days ago
    • Promoted
    Audit Manager- Healthcare

    Audit Manager- Healthcare

    Citrin Cooperman India LLPBelgaum, IN
    Job Title : A&A Manager (Assisted Living / Nursing Home / Healthcare).Citrin Cooperman is one of the largest accounting and consulting firms in the United States, and 4th among mid-Atlantic firms, with ...Show moreLast updated: 19 days ago
    • Promoted
    Claims Clerk

    Claims Clerk

    Scry AIbelagavi, karnataka, in
    Claims Clerk – Subject Matter Expert (SME).TPA claims operations with SME-level proficiency.Scry AI is a research-led enterprise AI company that builds intelligent platforms to drive efficiency, in...Show moreLast updated: 26 days ago
    • Promoted
    SAP SuccessFactors Employee Central (Contract - Remote - Immediate)

    SAP SuccessFactors Employee Central (Contract - Remote - Immediate)

    Live ConnectionsBelgaum, IN
    Remote
    Greetings from Live Connections!.We have an urgent requirement on.SAP SuccessFactors Employee Central (Contract - Remote - Immediate). Please find the below job description and kindly share me your ...Show moreLast updated: 2 days ago
    • Promoted
    Sales Force Testing

    Sales Force Testing

    Ubique SystemsBelgaum, IN
    Develop QA documents such as test plans, test cases, dashboards, defect logs, test sign off, and daily reports.Conduct various testing methods depending on project needs, including but not limited ...Show moreLast updated: 4 days ago
    • Promoted
    Manager - Captive Insurance

    Manager - Captive Insurance

    Selections HR Services Private LimitedBelgaum, IN
    Finance & Accounting professional.Lead and manage a large team delivering middle-office services across Accounting, Treasury, Risk & Compliance. Oversee and review management accounts, financial sta...Show moreLast updated: 4 days ago
    • Promoted
    Payments & Fraud Specialist

    Payments & Fraud Specialist

    Abacus.AIBelgaum, IN
    We’re looking for a Payments & Fraud Specialist to manage payment operations and prevent fraud across our Stripe systems. Monitor payments, disputes, and chargebacks in Stripe.Detect and resolve fra...Show moreLast updated: 3 days ago
    • Promoted
    Analyst, Invoicing

    Analyst, Invoicing

    UnitedLexBelgaum, IN
    UnitedLex (erstwhile iRunway India Pvt Ltd).Our business is anchored by a passion for innovation brought to life by a global community of diverse individuals determined to deliver on the promise of...Show moreLast updated: 4 days ago
    • Promoted
    Guidewire Claim Center Developer

    Guidewire Claim Center Developer

    h3 Technologies, LLCBelgaum, IN
    Guidewire Claim Center Developer (Cloud Version).Experience with GW Claims Configuration and Integration.Guidewire ClaimCenter • minimum recent 2 yrs.Show moreLast updated: 30+ days ago
    • Promoted
    Manager-LTL Freight Billing & Automation

    Manager-LTL Freight Billing & Automation

    ARDEM Data ServicesBelgaum, IN
    Manager — LTL Freight Billing & Automation.Full-time | Strong overlap with U.Own outcomes for ARDEM’s LTL clients — from pre-sales solution design to steady-state delivery and account growth.You’ll...Show moreLast updated: 4 days ago
    • Promoted
    Guidewire Billing Developer

    Guidewire Billing Developer

    The AES GroupBelgaum, IN
    If you are passionate about Guidewire Billing and have strong hands-on development skills, this could be the right fit for you!. Guidewire development, including 2+ years in Guidewire Billing (Billi...Show moreLast updated: 30+ days ago
    • Promoted
    Guidewire Billing Center Developer

    Guidewire Billing Center Developer

    TechDoQuestBelgaum, IN
    Over 02+ years of hands on experience working as a Guidewire Developers.Experience with guidewire development language – GOSU. Experience with Guidewire Billing Integration.Show moreLast updated: 30+ days ago
    • Promoted
    Customer Relationship Management Manager

    Customer Relationship Management Manager

    Self-employedNorth Goa, Goa, India
    Full-time / Part-time / Contract].Our organization is committed to delivering exceptional customer experiences and fostering lasting relationships with our clients. We aim to drive growth through ta...Show moreLast updated: 30+ days ago