Pa - Claims

2 days ago

Lucknow Uttar Pradesh, 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._

**_ _**
- To assess claims products to ensure that benefit spend is in accordance with the policies and rules relevant to our members’ policies and contracted agreements with providers of Healthcare._
- Responsibilities_
- _Data Entry of Information related to personal details, provider details, invoice information, procedure & impairment codes_
- _Validation of information entered by indexer and data Entry Operator_
- _Check & Select correct Pre-authorization_
- _Identify duplicate Claims and take appropriate action_
- _Reading & taking appropriate action on Alerts related to Members & providers._
- _Referring case to calling team for further information_
- _Dealing with Policy & Non Policy messages_
- _Interpreting, analyzing & further investigating the Policy messages on various tools like support point, info site etc._
- _Interpretation of hospital contracts & taking appropriate action basis that_
- _Referring cases to various department like HCS, TMT, Triage after adjudication as and when required_
- _Identify any over charge, ineligible chargers, contract compliance, Provider or Member Fraud_
- Qualifications we seek in you_
- Minimum qualifications_
- _Graduate_
- Preferred qualifications_
- _B.Sc. Life Science_
- _Good knowledge of healthcare & medical terminologies_
- _Eye for detail & investigative skills_
- _Good interpretation & comprehension skills_

**_
Job_**_Process Associate_

**_ Primary Location_**_India-Lucknow_

**_ Schedule_**_Full-time_

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

**_ Job Posting_**_Feb 7, 2025, 6:58:02 AM_

**_ Unposting Date_**_Ongoing_
- Master Skills List_Operations_
- Job Category_Full Time_

  • Pa - Claims

    2 days ago

    Noida, Uttar Pradesh, 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 -...

  • Pa - Claims

    3 weeks ago

    Lucknow, Uttar Pradesh, 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...

  • Pa - Claims

    5 days ago

    Noida, Uttar Pradesh, 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...

  • Claims Investigator

    5 days ago

    Noida, Uttar Pradesh, India IWI Services Full time

    **Job Title**: Field Officer (Health Claim Investigator) **Location: Noida-Ghaziabad & Faridabad** **Salary**:15k+ 6K (Travel) + Incentive **Reporting to**:Area Manager (Back Office) **Summary of Main Responsibilities**: Investigation of health and PA claims: Insured visit, Hospital Visit, Doctor visit, collect evidences of genunity of claim or evidences...

  • OTC-pa

    1 week ago

    Lucknow, Uttar Pradesh, 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...

  • Field Officer

    2 days ago

    Noida, Uttar Pradesh, India IWI Services Full time

    **Job Title**: Field Officer (Health Claim Investigator) **Location: Noida-Ghaziabad & New Delhi** **Salary**:15k+ 6K (Travel) + Incentive **Reporting to**:Area Manager (Back Office) **Summary of Main Responsibilities**: Investigation of health and PA claims: Insured visit, Hospital Visit, Doctor visit, collect evidences of genunity of claim or evidences...

  • Medical Officer

    1 week ago

    Noida, Uttar Pradesh, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time

    Greetings From Medi Assist **Job Title**: Medical Officer **Role/Position**: Permanent **Education**: BAMS, BHMS **Shifts**: Rotational Shifts ( work from office) **Job location**: Noida/ Mumbai **Job role**: - Check the medical admissibility of a claim by confirming the diagnosis and treatment details. - Scrutinize the claims, as per the terms and...