Executives EXL/E/1503118
2 days ago
Job Description – Process ExecutivePosition Title Executive, Medbill Adjudication Function, Responsibility Level Operations, Executive Reports to Assistant Manager, Adjudication Span of Control Nil Location Noida Permanent/ Temporary Permanent Adjudication associate is responsible for timely and accurate payment of Medical Bills submitted by US based hospital and doctors. The process includes claim adjudication, checking compensability, invoice review and the validation of the details in other systems and determine/decide on the accuracy of the amount billed and/or the need for denial of the claim based on result of research. Associate would also need to liaise with claims handlers on need basis. Essential Functions · Ensure that the process transactions are processed as per Desktop procedures · Ensure that the assigned targets are met in accordance with SLA and Internal standards · Ensure that the quality of transaction is in compliance with predefined parameters as defined by Process Excellence · Ensure adherence to established attendance schedules · Managing calendars and e-mails Performance parameters · Productivity · Quality / Accuracy · Attendance · Schedule Adherence Any other essential function that may occur from time to time as directed by the Supervisor Primary Internal Interactions · AM for the purpose of reporting performance, escalation handling, clarifying concerns, and seeking feedback and support. · Manager for the purpose of settling issues left unresolved by the AM and monthly evaluation of performance · CCEs (Team Members) for the purpose of seeking cooperation & clarification on process-related matters & providing assistance and support when required · Subject Matter Expert for the purpose of work thread related issues and escalated transactions · QCA for the purpose of feedback and audit · Trainers for the purpose of Pre-process and Process training Primary External Interactions · Escalation teams at the client end for the purpose of seeking clarifications & answering queries · SME / Trainers at the client end for training Organizational Relationships Reports To: Assistant Manager Supervises : Nil Skills Technical Skills · Good Computer navigation skills · Good keyboarding speed · MS Office proficiency Process Specific Skills · Knowledge about the US Workers’ Comp. Insurance industry · Knowledge about US Culture Soft skills (Minimum) · Good written skills · Customer Service Focus · Team work/ Managing Self / Adaptability · Data gathering ability/ Eye for detail Soft Skills (Desired) · Self disciplined and result oriented · Ability to multi task Education Requirements Graduation (any stream) or diploma with a minimum of 15 years of education. Work Experience Requirements 0 to 6 year of professional experience in data entry with Insurance industry. Familiarity with workers’ compensation insurance or health insurance industry required. Experience in handling insurance claims will be added advantage along with knowledge of US Healthcare system. Enclosures:
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Executives EXL/E/1502112
1 day ago
Noida, India exl Full timeJob Description Basic FunctionTo do the transactional level processing in an insurance collections and GL posting process. To do the reconciliation of the policies/accounts and accordingly make collections efforts via phone or email. To manage the ageing of debts/credits on the portfolio of accounts. It involves dealing with internal & external staff for...
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Executives EXL/E/1498754
1 day ago
Noida, India exl Full timeJob Description Position Title/Responsibility Level Executive / Senior Executive – Operations Function Property & Casualty (P&C US) Insurance – Operations Location Noida, India Area of Function Back Office – Claims Admin Essential Functions Issue payments based on invoices, ensuring payments are accurate and timely Issue reimbursement payments to...
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Senior Executive EXL/SE/1502102
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Noida, India exl Full timeJob Description Basic FunctionTo do the transactional level processing in an insurance collections and GL posting process. To do the reconciliation of the policies/accounts and accordingly make collections efforts via phone or email. To manage the ageing of debts/credits on the portfolio of accounts. It involves dealing with internal & external staff for...
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Executives EXL/E/1498397
2 days ago
Noida, India exl Full timeJob Description Good knowledge of Collections & Cash Apps Minimum 2 years of experience in an insurance process or similar industry Skilled in Legacy debt and Cash research methodologies Credit management and learning to work on custom ERP systems Good decision making skill Effectively balances quality, customer service and productivity standards Ability...
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Executives EXL/E/1505354
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Noida, India exl Full timeJob Description > Flexible with the 24*7 shift scheduling and comfortable working in night shift > Excellent comprehension skills to be able to comprehend the typed and handwritten insured requests > Effective written and verbal Communication Skills > Ability to work under pressure situation. > A people person with a positive bend of mind
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Executives EXL/E/1502008
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Noida, India exl Full timeJob Description Summary: The Talent Support Agent is responsible for addressing inquiries and issues from job candidates and employees, including job questions, onboarding, interview scheduling, and HR-related concerns. This role focuses on providing high-quality support to ensure a smooth experience for talent throughout the employment process. Key...
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Executives EXL/E/1506487
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Noida, India exl Full timeJob Description Set up property claims in client application Update property records based on town card searches Maintain claims reserves spreadsheets Maintain a high level of data accuracy and ensure compliance with client and company policies Adhere to service level agreements (SLAs) and quality metrics Handle sensitive claimant information with...
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Executives EXL/E/1532027
1 day ago
Noida, India exl Full timeJob Description Need expertise in accounting To do the transactional level processing in an insurance collections and GL posting process. To do the reconciliation of the policies/accounts and accordingly make collections efforts via phone or email. To manage the ageing of debts/credits on the portfolio of accounts. It involves dealing with internal &...
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Executives EXL/E/1503975
1 day ago
Noida, India exl Full timeJob Description JOB DESCRIPTION Position Title, Responsibility Level: Associate/Sr Associate Function: Operations Reports to - Assistant Manager/Lead Assistant Manager – Operations Permanent/ Temporary: Permanent Span of Control – Nil Location: Noida Roles and Responsibilities Resolved disputed account issues. Record and process received...
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Executives EXL/E/1499404
1 day ago
Noida, India exl Full timeJob Description Proficient with English language Freshers’/resources having prior experience, preferably insurance. US Shifts Back-office processing Basic computer and keyboard skills Numerical ability Good comprehension skill MS Office skills Team player Quick learner Should be able to read and comprehend request.