Hc & Insurance Operations Associate

In 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...

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 -...

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 -...

**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...

**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...

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 -...

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 -...

**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...

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, copay, out of pocket, maximum inside limits and...

Knowledge 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...

Knowledge 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...

Process 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...

Process 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...

Process 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...

**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...

**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...

We 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

Process 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...

**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...

**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...