HC & Insurance Operations Associate

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...

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...

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 process customer request.Clearing the enquiry from...

In this Role you will be Responsible For: The candidate is responsible to 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.Stay up to date on new policies, processes, and procedures impacting theFamiliarize, navigate multiple client...

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 and exclusions, state variations...

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 and exclusions, state variations...

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...

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 and aging timeframes. Scrutinizing Medical Claim...

Handle Provider Chat queries and meet client SLA 5-10 Operation during weekdays Should have a valid degree & good in communication Adhere to client shift time and break hours Customer holidays are followed and hence need to work on India Holidays Should have experiance in handling Microsoft excel, words

HC & Insurance Operations Senior Rep. NTT DATA 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 [[BPO Health Care and Insurance Operations Senior Representative]] to join our team in...