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...

Position Sr. Executive/ Associate Manager Sales OperationsExperience- (3-5 year)Job Description: The candidate should have a strong background in Office 365 Word Excel Power Point Outlook automation. Coordinate within the CRM and HC COE Team members onshore and offshore to facilitate the data and help in monitoring.Job ResponsibilitiesMaintain and manage the...

**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...

About Newgen Software: Newgen is the leading provider of a unified digital transformation platform with native process automation, content services, and communication management capabilities. GlobaAbout Newgen Software:Newgen is the leading provider of a unified digital transformation platform with native processautomation, content services, and...

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...

About Newgen Software: Newgen is the leading provider of a unified digital transformation platform with native process automation, content services, and communication management capabilities. Globally, successful enterprises rely on Newgen’s industry-recognized low code application platform to develop and deploy complex, content-driven, and...

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...

Associate – Insurance Genpact is Hiring: Associate – Insurance Domain Shift: US Shift Work Mode: Work from Office Working Days: 5 days a week Eligibility: Freshers are welcome, if experienced, relevant experience in US Insurance and Claims is required. Qualification: Any non-technical graduate Notice Period: Immediate joiners...