Executives EXL/E/1011997

2 months 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 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 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

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