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 -...

**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 -...

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...

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...

**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...

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...

ROLES & 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...