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Executives EXL/E/1011997
3 weeks ago
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 the cases created Determine if case can be resolved or must be forwarded to a Subject Matter Expert (SME) Once the case is received from SME, action cases as guided by the SME Generate letter and send it to the customer
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 mandatorySoft skills (Desired)
Effective communication skills, both verbal and written, Aptitude &Analytical AnilitySoft 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
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