Hc & Insurance Operations Associate

1 month 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 & Procedure.
- Maintain productivity goals, quality standards and aging timeframes.
- Scrutinizing Medical Claim Documents and settlements.
- Organizing and completing tasks per 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 for this role include**:

- University degree or equivalent that required formal studies of the English language and basic Math
- 6+ months of data entry experience that required a focus on quality including attention to detail, accuracy, and accountability for your work product.
- 6+ months of experience that required prioritizing your workload to meet deadlines

**Preferences**:

- Optional (nice-to-have’s)
- Ability to communicate (oral/written) effectively to exchange information with our client.

Required schedule availability for this position is Monday-Friday (06:00pm to 04:00am IST). 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.



  • Coimbatore, Tamil Nadu, India NTT DATA Full time

    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 healthcare insurance...


  • Coimbatore, Tamil Nadu, India NTT Data Services Full time

    **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...


  • Coimbatore, India timesjobs Full time

    Hc Insurance & Operations Senior RepDate: May 27, 2024Location: Coimbatore, TN, INCompany: NTT DATA ServicesPosition's OverviewAt 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 companys growth, market presence, and our ability to help our clients stay...


  • Coimbatore, Tamil Nadu, India timesjobs Full time

    Hc Insurance & Operations Senior RepDate: May 27, 2024Location: Coimbatore, TN, INCompany: NTT DATA ServicesPosition's OverviewAt 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 companys growth, market presence, and our ability to help our clients stay...


  • Coimbatore, India NTT DATA Services Full time

    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 competition. By hiring, the best people and helping them grow both...


  • Coimbatore, India NTT DATA Services Full time

    Position's OverviewAt 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...


  • Coimbatore, India NTT DATA Full time

    Job Description Position's OverviewAt 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...


  • coimbatore, India NTT DATA Full time

    Job Description 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 competition. By hiring, the best people and helping them grow...

  • Hc Insurance

    4 days ago


    Coimbatore, India NTT DATA Full time

    Job Description Position's OverviewAt 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...


  • Coimbatore, India Hashmap Full time

    **In this Role you will be Responsible For**: - Read and understand the process documents provided by the customer. - Entry-level administrative operations support performing various basic tasks (mail, file services, reporting, project support, and general account support activities). - Analyze the insurance request received from the customer and process as...


  • Coimbatore, India NTT DATA Services 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. Familiarize, navigate multiple client applications and capture the necessary information to process customer request. Clearing...

  • Required. HC

    4 days ago


    Coimbatore, India NTT DATA Full time

    Job Description Roles and Responsibilities:Process Adjudication claims and resolve for payment and DenialsKnowledge in handling authorization, COB, duplicate, pricing and corrected claims processKnowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside...


  • Coimbatore, India NTT DATA Full time

    Job Description Roles and Responsibilities:Process Adjudication claims and resolve for payment and DenialsKnowledge in handling authorization, COB, duplicate, pricing and corrected claims processKnowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside...

  • Bpo Hc

    4 weeks 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...


  • Coimbatore, 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...


  • 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...


  • Coimbatore, Tamil Nadu, India NTT DATA 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...


  • Coimbatore, Tamil Nadu, India NTT DATA Services Full time

    In this Role you will be Responsible ForProcessing member enrollment and change forms, including data entry Verifying proper completion of enrollment and change documentation. Requesting and verifying information as needed to expedite enrollment. Verifying payments, process adjustments, refunds and perform reconciliation of accounts Ensuring accurate and...


  • Coimbatore, India NTT Data Services Full time

    Provides 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...


  • 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...