HC & Insurance Operations Associate

What you’ll do
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.

Industry type
IT Services & Consulting
Department
BFSI, Investments & Trading
Role
Insurance Operations Executive
Role category
Life Insurance
Employment type
Full Time, Permanent
Education
Any Graduate, Any Postgraduate

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Insurance Operations Executive, Chennai

About company
NTT DATA GLOBAL DELIVERY SERVICES PRIVATE LIMITED
Headquarters
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NTT data was such a politics based company here they can throw u anyti...Read more

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Benefits
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Work From Home

Health Insurance

Cafeteria

Soft Skill Training

Job Training

Transport

Team Outings

Gym

Education Assistance

International Relocation

Child Care

Free Food

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