This job offer is not available in your country.
Claims Clerk
Scry AIranchi, jharkhand, in1 day ago
Job descriptionReview 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. 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. 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. 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. 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. 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). 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.
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)
AI / Automation Enablement
Compliance, Audit & Fraud Vigilance
Knowledge & Training
Required Qualifications & Skills
Nice to Have
Our Ideal Candidate
Tip for Candidates
If this job opening excites you, follow our page to stay connected
Create a job alert for this search
Clerk • ranchi, jharkhand, in
Related jobs
Tax Associate (Entry-Level | CA Inter | INR ₹7–7.Remote (India-based candidates only).Multiple remote full-time roles.CA Inter-qualified candidates (via direct entry route).CPA firms with tax prepa...Show moreLast updated: 30+ days ago
- Promoted
Guidewire Billing Center Developer
TechDoQuestranchi, jharkhand, in Over 7-8 years of hands on experience working as a Guidewire Developers.Experience with guidewire development language – GOSU.
Experience with Guidewire Billing Integration.Show moreLast updated: 11 days ago
- Promoted
Guidewire Billing Developer
The AES Groupranchi, jharkhand, 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 3+ years in Guidewire Billing (Billi...Show moreLast updated: 11 days ago
- Promoted
Collections Analyst
Branch Internationalranchi, jharkhand, in Branch delivers world-class financial services to the mobile generation.With offices in the United States, Nigeria, Kenya, and India, Branch is a for-profit socially conscious company that uses the...Show moreLast updated: 30+ days ago
- Promoted
Majesco Billing Developer- Immediate Joiners
Stratusranchi, jharkhand, in A Majesco Billing Center Developer specializes in building, configuring, and maintaining insurance billing solutions using the Majesco platform.
This role is most common in organizations implementin...Show moreLast updated: 9 days ago
- Promoted
U.S. Tax Associate (Remote) (Entry-Level)
Jayakumar Lawranchi, jharkhand, inRemote
- Promoted
Insurance Specialist
Scry AIranchi, jharkhand, in Insurance Specialist (SME – Claims, Underwriting & Compliance).Years in Insurance Operations, Claims Management, or Underwriting (experience with AI-driven insurance or digital tools preferred).Scr...Show moreLast updated: 4 days ago
- Promoted
Referral Agent
Immiigro Canada Immigration Centre Inc.ranchi, jharkhand, in Immiigro Canada Immigration Centre.Canadian government‑licensed immigration consultancy based in Toronto.College of Immigration and Citizenship Consultants (CICC).
Canadian study permits, work permi...Show moreLast updated: 10 days ago
- Promoted
Life Insurance Agent
Life Insurance Corporation of Indiaranchi, jharkhand, in The Life Insurance Corporation of India (LIC) is a state-owned life insurance company founded in 1956.Headquartered in Mumbai, Maharashtra, LIC is a key player in the life insurance sector in India...Show moreLast updated: 30+ days ago
- Promoted
Transaction Processing Representative
Mphasisranchi, jharkhand, in Job Title : Transaction Processing Executive / Officer.DLF SEZ IT Park, Tower 1B, Level 1-5, 1 / 124, Shivaji Garden, Manapakkam, Mount Poonamalle Road, Chennai, Tamil Nadu 600089.Shift time : Complete...Show moreLast updated: 1 day ago
- Promoted
Experienced Billing RCM
My Care Internationalranchi, jharkhand, in Experienced Billing RCM (Physicians / Hospital / Lab).My Care Labs is a leading laboratory specializing in wellness and toxicology testing, committed to providing accurate and timely results to support...Show moreLast updated: 30+ days ago
- Promoted
Senior Admisssion Counsellors- Study Abroad
upGradranchi, jharkhand, in A successful Admission Profiler excels in initiating contact with potential leads, thoroughly qualifying them, and cultivating genuine interest and necessity in upGrad’s programs and offerings.As a...Show moreLast updated: 23 days ago
- Promoted
Senior Underwriter
Firstsourceranchi, jharkhand, in Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services.Firstsource specializes in helping customers stay ahead of the curve through transformational so...Show moreLast updated: 23 days ago
- Promoted
Senior Associate Australian Taxation
befree Globalranchi, jharkhand, in Senior Associate Australian Taxation.Should have proficiency in year-end finalization of accounts and preparation of Tax.
Returns for Companies, Partnerships, Trusts, ITR's, BAS etc.Work in Australi...Show moreLast updated: 23 days ago
- Promoted
Accounts Receivable Specialist
eClerxranchi, jharkhand, in Job Title : Accounts Receivable – Payment Specialist.Mandatory Skills- Order Management, Sales Order Processing, Salesforce CPQ, Billing.
Position Summary : The Accounts Receivable – Payment Specialis...Show moreLast updated: 22 days ago
- Promoted
US Billing + Accounting
AKM Globalranchi, jharkhand, in We are seeking a detail-oriented and proactive Accounting Specialist with expertise in Accounts Receivable (AR), Billing, Financial Statement Preparation, Journal Entries, and client coordination.T...Show moreLast updated: 16 days ago
- Promoted
- New!
Audit Associate
Scan Global Servicesranchi, jharkhand, in Are you ready to take your audit career global? Join our growing team supporting Canadian NPOs from India!.Years (Audit / Assurance / Accounting).
PM – 1 : 00 AM IST (aligning with Canadian clients).A...Show moreLast updated: 8 hours ago
- Promoted
SAP Adobe Forms Specialist
RED Globalranchi, jharkhand, in Remote - SAP Adobe Forms Specialist.Adobe Forms (SAP Interactive Forms by Adobe) used for transactional documents (e.This role ensures compliance with corporate branding, supports multilingual and ...Show moreLast updated: 1 day ago
- Promoted
Underwriter
WNSranchi, jharkhand, in The Mortgage underwriting associate evaluate and determine the eligibility of loan applications of residential mortgage 1 to 4 family loans.
Mortgage underwriting associate role includes but not lim...Show moreLast updated: 1 day ago