![NTT DATA](https://media.trabajo.org/img/noimg.jpg)
Hc & Insurance Operations Associate
2 weeks ago
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 5.30PM/3.30AM 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.
-
Hc & Insurance Operations Associate
2 weeks ago
Noida, India Hashmap Full timeIn this Role you will be Responsible For - Review and process insurance claims. - Validate Member, Provider and other Claims 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 standards...
-
Hc & Insurance Operations Associate
2 weeks ago
Noida, India NTT DATA Full timeIn this Role you will be Responsible For - Review and process insurance claims. - Validate Member, Provider and other Claims 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 standards...
-
Hc & Insurance Operations Associate
2 months ago
Noida, India Hashmap Full timeProcess 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 -...
-
Hc & Insurance Operations Associate
2 weeks ago
Noida, India Hashmap Full timeProcess 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 -...
-
Hc & Insurance Operations Associate
2 months ago
Noida, 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
2 months ago
Noida, India Hashmap 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
3 weeks ago
Noida, India Hashmap 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
6 days ago
Noida, Uttar Pradesh, India NTT DATA Full timeRoles 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, copay, out of pocket, maximum inside limits and...
-
Insurance Associate
1 week ago
Noida, India MetLife Full timeKnowledge skills & competency required - Demonstrated ability to learn quickly and willingness to obtain functional knowledge and understanding of business procedure and policies. - 0 months to 2.5 year of customer service/ Data Entry experience - College graduate - Good verbal & written communication skills. - Demonstrated ability to work in a team...
-
Insurance Associate
4 weeks ago
Noida, India MetLife Full timeKnowledge skills & competency required - Demonstrated ability to learn quickly and willingness to obtain functional knowledge and understanding of business procedure and policies. - 0 months to 2.5 year of customer service/ Data Entry experience - College graduate - Good verbal & written communication skills. - Demonstrated ability to work in a team...
-
Insurance Associate
4 weeks ago
Noida, India MetLife Full timeProcess Details & Primary Responsibility Process payments on behalf of Institutional MLM Group A customers and Voluntary benefits - GUL, LRK, AARP, LAPSE - Process bills / invoices and allocate cash. - Research website to review backup documentation. - Send request for additional/missing information. - Process identified suspense items distributed by Tampa...
-
Insurance Associate
2 weeks ago
Noida, India MetLife Full timeProcess Details & Primary Responsibility Process payments on behalf of Institutional MLM Group A customers and Voluntary benefits - GUL, LRK, AARP, LAPSE - Process bills / invoices and allocate cash. - Research website to review backup documentation. - Send request for additional/missing information. - Process identified suspense items distributed by Tampa...
-
Insurance Associate
3 weeks ago
Noida, India MetLife Full time**Department**:Insurance*** **Responsibility Level**:Nil **Span of Control**:Nil **Process Name**:Remittance LM & CBS **Positions reporting into this role**:Nil Role - Associate **Reports to**:Team Leader / Assistant Manager **Process Details & Primary Responsibility** Process payments on behalf of Institutional MLM Group A customers and Voluntary...
-
Insurance Associate
4 weeks ago
Noida, India MetLife Full timeProcess Details & Primary Responsibility Process payments on behalf of Institutional MLM Group A customers and Voluntary benefits - GUL, LRK, AARP, LAPSE - Process bills / invoices and allocate cash. - Research website to review backup documentation. - Send request for additional/missing information. - Process identified suspense items distributed by Tampa...
-
Insurance Associate
2 weeks ago
Noida, India MetLife Full time**Position Summary** The process consists of responsibilities currently performed by the Implementation Specialist (IS) when installing a new group customer within MetLife U.S. Affiliate systems. The role consist of a verification and confirmation that all MetLife U.S. Affiliate systems and group customer eligibility information has been properly loaded and...
-
Associate Operations
2 weeks ago
Noida, India Intrics Solutions Pvt Ltd Full timeWe have an urgent requirement of Associate Operations wherein we need a person with good excel knowledge. **Salary**: ₹12,000.00 - ₹15,000.00 per month **Benefits**: - Health insurance - Provident Fund Schedule: - Day shift Supplemental pay types: - Overtime pay - Health insurance
-
Insurance Associate
3 weeks ago
Noida, India MetLife Full timeProcess Details & Primary Responsibility Process payments on behalf of Institutional MLM Group A customers and Voluntary benefits - GUL, LRK, AARP, LAPSE - Process bills / invoices and allocate cash. - Research website to review backup documentation. - Send request for additional/missing information. - Process identified suspense items distributed by Tampa...
-
Insurance Associate
3 weeks ago
Noida, India MetLife Full time**Position Title** Associate **Function, Responsibility Level** Operations **Reports to** Manager **Associate Name** **Span of Control** **0** **Location - GOSC Noida**: **Permanent/ Temporary**: **Permanent**: **Basic Function**: - Monitor and resolve intraday pre-trade compliance restrictions and warnings via Dashboard and override where...
-
Insurance Associate
2 weeks ago
Noida, India MetLife Full time**Position Title** Associate **Function, Responsibility Level** Operations **Reports to** Manager **Associate Name** **Span of Control** **0** **Location - GOSC Noida**: **Permanent/ Temporary**: **Permanent**: **Basic Function**: - Monitor and resolve intraday pre-trade compliance restrictions and warnings via Dashboard and override where...
-
Architect
2 weeks ago
Noida, India Infogain Full timeROLES & RESPONSIBILITIES - "12-14 years of Experience in Core Java, Databases along with experience in some or the other front end technology - Write high-quality code using the guidelines and effectively debug the code. - " - "architecture standards as well as...