Hc & Insurance Operations Associate

1 day ago

Coimbatore Tamil Nadu, 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 network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations
- Audit claims as outlined by Policies and Procedures. Utilize appropriate system-generated reports applicable for specialty claims.
- Document, track findings per organizational guidelines for reporting purpose.
- Based upon trends, determine ongoing Claims Examiner training needs and develop/implement training programs as approved by Senior Management.
- Conduct in-depth research of contract issues, system-related problems, claims processing Policies and Procedures, etc., to confirm cause of trends. Recommend actions/resolutions to Senior Management.
- Work with other organizational departments to develop corrective action plans to improve accuracy of the claims adjudication processes and assure compliance with organizational requirements and applicable regulations.
- Assist in the development of Claims Department Policies and Procedures.
- Attend organizational meetings as required
- Adhere to organizational Policies and Procedures.

**Requirements**:

- 2-3 years of experience in processing claims adjudication and adjustment process
- Experience in professional (HCFA), institutional (UB) claims (optional)
- Both under graduates and post graduates can apply
- Good communication (Demonstrate strong reading comprehension and writing skills)
- Able to work independently, strong analytic skills Work Timings: Required schedule availability for this position is Monday-Friday 5.30PM/3.30AM IST (AR SHIFT). 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 2-3 years of relevant experience

  • Hc & Insurance Operations Associate

    1 day 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

    1 day ago

    Coimbatore, India Hashmap 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...

  • Hc & Insurance Operations Associate

    3 days ago

    Chennai, Tamil Nadu, India NTT DATA Full time

    **Position 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 professionally...

  • Hc & Insurance Operations Associate

    1 day ago

    Chennai, 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

    1 day ago

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

  • HC Insurance Operations Specialist

    2 weeks ago

    Coimbatore, Tamil Nadu, India beBeeCustomerService Full time ₹ 9,00,000 - ₹ 15,00,000

    Job Opportunity: HC Insurance Operations SpecialistDescription:We are seeking a highly skilled and experienced HC/Insurance Operations Specialist to analyze and process transactions, reprocess as needed, and provide exceptional customer service.Key Responsibilities:Analyze and process transactions in accordance with business rulesReprocess transactions as...

  • Hc & Insurance Operations Associate

    2 weeks ago

    Coimbatore, Tamil Nadu, India NTT DATA Full time

    Req ID 288996NTT DATA Services strives to hire exceptional innovative and passionate individuals who want to grow with us If you want to be part of an inclusive adaptable and forward-thinking organization apply now We are currently seeking a HC Insurance Operations Associate to join our team in Coimbatore Tamil N xc4 x81du IN-TN India IN Roles...

  • Hc & Insurance Operations Senior Rep

    1 week ago

    Chennai, Tamil Nadu, India NTT DATA Full time

    Position 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 professionally and...

  • Hc & Insurance Operations Associate

    2 weeks ago

    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...

  • Hc & Insurance Operations Associate

    1 day ago

    Coimbatore, Tamil Nadu, India NTT DATA Full time

    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 activities). - Analyze the insurance request received...