Hc & Insurance Operations Associate

1 week 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.

  • Hc & Insurance Operations Associate

    1 week ago

    Coimbatore, India Hashmap Full time

    NTT Data Services is Hiring! Grade 3 - HC & Insurance Operations Sr Rep **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...

  • Hc & Insurance Operations Associate

    4 days ago

    Coimbatore, Tamil Nadu, India NTT DATA Full time

    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 professionally and personally, we ensure...

  • Hc & Insurance Operations Associate

    2 weeks ago

    Coimbatore, 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...

  • Hc & Insurance Operations Associate

    6 days ago

    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). - 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,...

  • Hc & Insurance Operations Associate

    6 days ago

    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...

  • Hc & Insurance Operations Associate

    1 week ago

    Coimbatore, Tamil Nadu, India NTT DATA Full time

    **Req ID**: 281034 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...

  • Hc & Insurance Operations Associate

    1 week ago

    Coimbatore, Tamil Nadu, India NTT DATA Full time

    NTT Data Services is Hiring! Grade 3 - HC & Insurance Operations Sr Rep **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...

  • Hc & Insurance Operations Associate

    2 weeks ago

    Coimbatore, India NTT DATA Full time

    HC & Insurance Operations Roles and Responsibilities: - 2-3 years of experience in processing claims adjudication and adjustment process - Experience in professional (HCFA) and institutional (UB) claims - Knowledge in handling authorization, COB, duplicate and pricing process - Knowledge of healthcare insurance policy concepts including in network, out of...

  • Insurance Operations Associate

    1 week ago

    Coimbatore, Tamil Nadu, India NTT DATA Global Delivery Services Ltd Full time ₹ 4,00,000 - ₹ 8,00,000 per year

    HC & Insurance Operations Associate 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...

  • Insurance Operations Associate

    2 weeks ago

    Coimbatore, Tamil Nadu, India NTT DATA Global Delivery Services Ltd Full time ₹ 1,50,000 - ₹ 2,50,000 per year

    HC & Insurance Operations Associate Position's General Duties and Tasks 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...