Hc & Insurance Operations Associate

We are currently seeking a BPO Health Care and Insurance Operations Associate to join our team in Noida, Uttar Pradesh, India. 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...

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...

Job Description: We are seeking a skilled HC Insurance Operations Associate to join our team in India. The successful candidate will be responsible for process adjudication claims and resolving for payment and denials, handling authorization, COB, duplicate, pricing, and corrected claims process, and ensuring accurate and timely completion of transactions to...

**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 and...

Req ID 289197NTT 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 apply now We are currently seeking a HC Insurance Operations Associate to join our team in Noida Uttar Pradesh IN-UP India IN Roles and...

***Skill required**:Insurance - Life Insurance** ***Designation**:Associate** ***Job Location**:Noida** ***Qualifications**:Any Graduation** ***Years of Experience**:1-3 Years** **About Accenture**: **What would you do?**: You will be aligned to our Financial Services, Banking, Insurance, and Capital Market vertical which is focused on helping clients with...

In this Role you will be Responsible For: Review & Processes Healthcare payer claims including HCFA & UB forms. Validate Member, Provider and other Claims information. Resolve multiple hold codes/edits to complete a transaction Need to verify and understand the healthplan documents to take decision on benefits allowed Strong knowledge on all claims type like...

**Skill required**: Insurance - Life Insurance**: **Designation**:Associate**: **Job Location**:Noida**: **Qualifications**:Any Graduation**: **Years of Experience**:1-3 years**: **About Accenture**: **What would you do?**: You will be aligned to our Financial Services, Banking, Insurance, and Capital Market vertical which is focused on helping clients with...

**Skill required**: Insurance - Group Life Insurance**: **Designation**:Associate**: **Job Location**:Noida**: **Qualifications**:Any Graduation**: **Years of Experience**:1-3 years**: **About Accenture**: **What would you do?**: You will be aligned to our Financial Services, Banking, Insurance, and Capital Market vertical which is focused on helping clients...

Insurance Associate **Position Summary** Backend Profile - All the claims which cannot be processed by the sub-contractor, comes in Metcor queue. Work queues that have claims route to GOSC can be defined by the type of edit that requires resolution (eligibility, plan, provider or code related). Claims are researched and reviewed for approval, non-payment,...

**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...

**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...

Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose – the relentless pursuit of a world that works better for people –...

**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...

**Basic Function**: Review and count incoming records and translate those records into transactions. Activities are researched and the request is processed as per procedure. **Essential Functions**: - Analyze, validate and process transactions as per Desktop procedures (L3 & L4). - Analyze and research all discrepancies. - Investigate and resolve...

We are looking for a reliable operations associate to support the operations manager with the management of the day-to-day business. The operations associate's responsibilities include performing administrative tasks, assisting other company departments as needed, and ensuring smooth daily operations. A successful operations associate should be highly...