Hc & Insurance Operations Senior Rep

3 weeks ago

Chennai Tamil Nadu, India NTT DATA Full time

Position s General Duties and Tasks In this role you will be responsible for Life Claims Processing Death Claims and identifying the right beneficiary s to provide the Claims benefit Setting up a claim and then following up for pending requirements if any Examining the received documents payment calculation and settlement Perform additional review before cutting the check Health Claims Supporting different set of Health Claims products which includes Wellness Critical Illness Accident Cancer HI etc Check the eligibility of the members product wise who will undergo different set of medical examination proceeding with additional care treatment To perform adjudication which will cover the additional review of the medical history proceeding with medical benefits Requirements for this role include 0 -1 Year of experience in any Healthcare BPO University degree or equivalent that required 3 years of formal studies 1 year s of experience using a computer with Windows PC applications that required you to use a keyboard navigate screens and learn new software tools Ability to work scheduled shifts from Monday-Friday 06 00 PM to 04 00 AM and to be flexible to accommodate business requirements Ability to communicate oral written effectively in English to exchange information with our client

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