Executives EXL/E/1477753

1 week ago


Kochi, India exl Full time

Job Description

Position Title, Responsibility Level

Associate

Function

Healthcare

Reports to 

Assistant Manager

Permanent/ Temporary

Permanent

Span of Control

Individual Contributor

Location 

Kochi, India

Basic Function 

Work Type - Back office with outbound calls to providers office as needed  validate all fields in the application against uploaded faxes/documents to complete requisite for valid appeal When Missing data/field is found, associate needs to call provider's office and gather/provide information, professionally

Essential Functions

Navigate through multiple system / applications for data gathering Proficiency with computer skills (navigating multiple systems and keyboarding) Understand the goals and standards to ensure that quality and productivity standards are met Accurate and timely updating of the database Meet the agreed upon KPIs as per the operational definitions and targets Participate in the User Acceptance Testing as needed 98% - % attendance during training/nesting period is required Tying speed – 25-30 words/minute with 90% accuracy Must be flexible to work hours with Monthly work schedules changes

Primary Internal Interactions

Actively participate in the team meetings, discussions and provide inputs Calibrate, Cooperate and support the team in pursuit of achieving and exceeding team goals

Primary External Interactions

Email Communications Verbal Communication

Organizational Relationships

Reports To : Team Manager Supervises :

Skills

Technical Skills

Working knowledge of MS office (Word, Excel and Power point) and Internet / Outlook

Process Specific Skills

Advanced knowledge and ability to navigate CVSH-AETNA systems.  Strong comprehension skills (Need screening during interview) US Healthcare knowledge is preferred but not mandatory

Soft skills (Desired)

Effective communication skills, both verbal and written, Aptitude &Analytical Anility

Soft Skills (Minimum)

None

Education Requirements

Bachelor’s degree with a minimum 15 years of education

Work Experience Requirements

Fresher’s, resources right out of the college can be hired to 1 year experience

Annexure: 

Acknowledgement  (acknowledge that the information contained in this document is factual and complete)

___________________________________ ___________________________________________ ____________________________

 Candidate Supervisor/Manager Date



  • Kochi, India exl Full time

    Job Description Position Title, Responsibility Level Associate Function Healthcare Reports to  Assistant Manager Permanent/ Temporary Permanent Span of Control Individual Contributor Location  Kochi, India Basic Function  Work Type - Back office Search for claims related documents in different systems, create a case, attach the documents to...


  • Kochi, India exl Full time

    Job Description – AssociatePosition Title, Responsibility Level Level 1 Function Associate Reports to Assistant Manager Permanent/ Temporary Permanent Span of Control Nil Location Kochi Basic Function Supplier will receive the work via the proprietary application and input the pharmacy benefits onto the proprietary system. The supplier may be doing...


  • Kochi, India exl Full time

    Job Description Nurse Level 1/2A Job Group  Healthcare Family Name  Complaints, Grievance and Appeals Job Title  Nurse Level 1/2A Functional Title  Coding Reconsideration – Nurse Consultant Exemption Status  Non-Exempt Family Summary/Mission Provide comprehensive clinical review of complaints and appeals filed by providers with the use of...


  • Kochi, India exl Full time

    Job Description The Accounts Payable Executive role involves processing supplier invoices accurately and in compliance with company policies. Responsibilities include analyzing and resolving invoice exceptions, ensuring timely vendor setup and maintenance in the system. The role also covers executing payments as per agreed terms and reconciling vendor...


  • Kochi, India exl Full time

    Job Description The Accounts Payable Executive will be responsible for accurate and timely processing of vendor invoices and payments in compliance with company policies. The role requires maintaining proper documentation, resolving discrepancies, and ensuring adherence to internal controls. Proficiency in MS Excel is essential for reporting and data...


  • Kochi, India exl Full time

    Job Description : Manage Purchase requisition, Purchase Orders and Invoice processing. You will collaborate with team members in North America and in Europe to execute your work effectively and your attention to detail and expertise will be essential in our mission to maintain financial excellence. Responsibilities: • Process Purchase requisitions,...

  • E-commerce Executive

    2 weeks ago


    Kochi, Kerala, India Star World Electronics Co W.l.l Full time

    **GULF BASED COMPANY-** **WORK LOCATION - DUBAI ,UAE-IF INTERETED TO WORK IN DUBAI or BHARAIN, THEN PLS APPLY.** **As an e-Commerce Specialist, you will create and implement strategies that make online transactions possible. You will organize, develop, and execute website marketing plans**. Roles and Responsibilities - Write and edit product content that...


  • Kochi, India Nevitech Data Solutions Pvt Ltd Full time

    Assisting in the formulation of strategies to build a lasting digital connection with consumers Planning and monitoring the ongoing company presence on social media. Launching optimized online advertisements to increase company and brand awareness Job description We are looking for an experienced Digital Marketing and E-Commerce Executive to assist in the...


  • Kochi, Kerala, India Webzap Technologies Full time

    **Position Title**: E-commerce Operation Executive **Main Tasks**: - **Product Research**: Conduct comprehensive research to identify trending products, emerging market demands, and competitive landscapes. This involves analyzing consumer behavior, industry trends, and market dynamics to strategically select products that align with the company's...


  • Kakkanad, Kochi, Kerala, India Travancore Cochin Heritage Auctions Full time

    **Job Summary**: **Key Responsibilities**: - **Product Listing Management**: Create, update, and optimize product listings on Amazon, Flipkart, and other e-commerce platforms to maximize visibility and conversions. - **Inventory Management**: Monitor inventory levels, update stock information, and work with the warehouse team to ensure timely restocking. -...