Hc & Insurance Operations Associate
5 days ago
**About NTT DATA Services**
- NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, colour, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team_
- NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization._
**Role**: HC & Insurance operations Associate
**Location**:Chennai,Coimbatore
**Experience**:1-2 Years
***
**Mandatory Skills**: Claims adjudication, Facets
**Job type**: Full Time
**Shift Timings**: 4.00PM to 2.00AM IST
**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 of Facets is an added advantage.
- 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 4.00PM to 2.00AM 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.
**Job Segment**:Consulting, Technology
-
Hc & Insurance Operations Associate
8 months ago
Coimbatore, India Hashmap Full timeAt NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we...
-
Hc & Insurance Operations Associate
8 months ago
Coimbatore, Tamil Nadu, India NTT DATA Full timeAt NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company's growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure...
-
Hc & Insurance Operations Associate
7 months ago
Coimbatore, India Hashmap Full timeNTT Data Services is Hiring! Grade 3 - HC & Insurance Operations Sr Rep **Position's Overview** At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the...
-
Hc & Insurance Operations Associate
7 months ago
Coimbatore, Tamil Nadu, India NTT DATA Full timeNTT Data Services is Hiring! Grade 3 - HC & Insurance Operations Sr Rep **Position's Overview** At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company's growth, market presence and our ability to help our clients stay a step ahead of the...
-
Hc & Insurance Operations Associate
7 months ago
Coimbatore, Tamil Nadu, India NTT DATA Full time**Req ID**: 281034 We are currently seeking a HC & Insurance Operations Associate to join our team in Coimbatore, Tamil Nādu (IN-TN), India (IN). **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...
-
Hc & Insurance Operations Associate
5 days ago
Coimbatore, Tamil Nadu, India NTT DATA Full timeWe are currently seeking a HC & Insurance Operations Associate to join our team in Coimbatore, Tamil Nādu (IN-TN), India (IN). **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...
-
Hc & Insurance Operations Associate
5 days ago
Coimbatore, Tamil Nadu, India NTT DATA Full timeWe are currently seeking a HC & Insurance Operations Associate to join our team in coimbatore, Tamil Nādu (IN-TN), India (IN). - 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,...
-
Hc & Insurance Operations Associate
1 day ago
Coimbatore, India NTT DATA Full timePosition's General Duties and Tasks **In this Role you will be Responsible For**: - Read and understand the process documents provided by the customer. - Analyse the insurance request received from the customer and process as per standard operating procedures. **Requirements for this role include: - Should have typing knowledge. - Type speed should be...
-
Bpo Hc
6 months ago
Coimbatore, India Hashmap Full time"- Checks for completeness and appropriateness of source data. - Involved in fact finding, information search and data gathering. - Verifies and compiles data. Identifies and resolves routine and recurring problems. Skills Required - Ability to analyze and process transactions based on rules. - Able to integrate knowledge as a skilled specialist. - Possess...
-
Hc & Insurance Operations Associate
7 months ago
Coimbatore, India Hashmap Full time**Position's General Duties and Tasks** **In these roles you will **be responsible for**: - Review and process insurance claims. - Validate Member, Provider and other Claim’s information. - Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure. - Coordination of Claim Benefits based on the Policy &...
-
Hc & Insurance Operations Associate
7 months ago
Coimbatore, Tamil Nadu, India NTT DATA Full time**In this Role you will be Responsible For**: - Analyse the insurance request received from the customer and process as per standard operating procedures. - Stay up to date on new policies, processes, and procedures impacting the - Ensuring accurate and timely completion of transactions to meet or exceed client SLAs - Organizing and completing tasks...
-
Hc & Insurance Operations Associate
7 months ago
Coimbatore, Tamil Nadu, India Hashmap Full time**In this Role you will be Responsible For**: - Analyse the insurance request received from the customer and process as per standard operating procedures. - Stay up to date on new policies, processes, and procedures impacting the - Ensuring accurate and timely completion of transactions to meet or exceed client SLAs - Organizing and completing tasks...
-
Hc & Insurance Operations Associate
5 days ago
Coimbatore, Tamil Nadu, India NTT DATA Full timePosition's General Duties and Tasks **In this Role you will be Responsible For**: - Analyse the insurance request received from the customer and process as per standard operating procedures. - Stay up to date on new policies, processes, and procedures impacting the - Ensuring accurate and timely completion of transactions to meet or exceed client SLAs -...
-
Hc & Insurance Operations Associate
6 months ago
Coimbatore, Tamil Nadu, India Hashmap Full time**In this Role you will be Responsible For**: - Read and understand the process documents provided by the customer. - Analyse the insurance request received from the customer and process as per standard operating procedures. **Requirements for this role include**: - Should have typing knowledge. - Type speed should be minimum 21 WPM - Ready to work in...
-
Hc and Insurance Operations Associate
3 days ago
Coimbatore, India NTT Data Services Full timeProvides front-line supervision to an operational team of 25 or more employees Supervised team typically responsible for manging US healthcare Payer claims adjudication process May assign work to direct reports. Makes hiring, firing, promotion, and disciplinary recommendations. Leads a team ensuring the highest quality of service is provided to...
-
Hc & Insurance Operations Associate
7 months ago
Coimbatore, Tamil Nadu, India NTT DATA Full time**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...
-
Hc & Insurance Operations Associate
7 months ago
Coimbatore, Tamil Nadu, India NTT DATA Full time**Position's General Duties and Tasks** **In these roles you will** **be responsible for**: - Review and process insurance claims. - Validate Member, Provider and other Claim's information. - Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure. - Coordination of Claim Benefits based on the Policy &...
-
Bpo Hc
5 days ago
Coimbatore, India NTT Data Services Full timeIn these roles you will be responsible for: - Review and process insurance claims. - Validate Member, Provider and other Claim’s information. - Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure. - Coordination of Claim Benefits based on the Policy & Procedure. - Maintain productivity goals, quality...
-
Hc & Insurance Operations Associate
2 days ago
Coimbatore, Tamil Nadu, India NTT DATA Full timeThese individuals have a working knowledge of one technical skill. - They work on routine and nonroutine matters. - They handle routine questions and issues, referring complex or unexpected matters to higher level employees for assistance. - They may regularly interact with customers and first line management. - Checks for completeness and appropriateness of...
-
Hc & Insurance Operations Associate
7 months ago
Coimbatore, Tamil Nadu, India NTT DATA Full time**In these roles you will be responsible for**: - Ensuring accurate and timely completion of transactions to meet our or client service deliverables - 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...