Process Associate-claims

6 days ago

Jaipur Rajasthan, India Genpact Full time

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 - we serve and transform leading enterprises, including the Fortune Global 500, with our deep business and industry knowledge, digital operations services, and expertise in data, technology, and AI._

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- In this role, you will be responsible for Data Entry of Information related to personal details, provider details, invoice information, procedure & impairment codes_

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**_ Responsibilities_**:**_ _**

**_Validation of information entered by indexer_**

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**_Check & Select accurate Pre-authorization_**

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**_Identify duplicate Claims and take appropriate action_**

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**_Reading & taking appropriate action on Alerts related to Members & providers._**

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**_Referring case to calling team for further information_**

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**_Looking after Policy & Non-Policy messages_**

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**_Interpreting, analyzing & further investigating the Policy messages on various tools like support point, info site etc._**

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**_Referring cases to various department like HCS, TMT, Triage after adjudication as and when required_**

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**_Identify Front End Savings by investigating claims to Identify any over charge, ineligible chargers, contract compliance, Provider or Member Fraud_**

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**_Qualifications we seek in you_**:**_ _**

**_ Minimum qualifications_**

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**_Any Graduate except technical_**

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**_Freshers are eligible_**

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**_Preferred qualifications _**:
**_Good knowledge of healthcare & medical terminologies_**

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**_Eye for detail & investigative skills_**

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**_Good interpretation & comprehension skills_**

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**_Proven experience_**

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Job_**_Process Associate_

**_ Primary Location_**_India-Jaipur_

**_ Schedule_**_Full-time_

**_ Education Level_**_Bachelor's / Graduation / Equivalent_

**_ Job Posting_**_Mar 5, 2025, 1:59:15 AM_

**_ Unposting Date_**_Apr 4, 2025, 1:29:00 PM_
- Master Skills List_Operations_
- Job Category_Full Time_

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