Healthcare & Insurance Operations Senior Representative

7 days ago


Chennai, Tamil Nadu, India NTT DATA Global Delivery Services Ltd Full time ₹ 2,00,000 - ₹ 6,00,000 per year

HC & Insurance Operations Senior Rep.

Position's General Duties and Tasks:

In this role you will be responsible for:

Life Claims:

  • Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit
  • Setting up a claim and then following up for pending requirements (if any)
  • Examining the received documents, payment calculation and settlement
  • Perform additional review before cutting the check

Health Claims:

  • Supporting different set of Health Claims products which includes Wellness, Critical Illness, Accident, Cancer, HI etc.
  • Check the eligibility of the members product wise who will undergo different set of medical examination proceeding with additional care/treatment
  • To perform adjudication which will cover the additional review of the medical history proceeding with medical benefits

Requirements for this role include:

  • 0 -1 Year of experience in any Healthcare BPO
  • University degree or equivalent that required 3 years of formal studies
  • 1 year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.
  • Ability to work scheduled shifts from Monday-Friday 06:00 PM to 04:00 AM and to be flexible to accommodate business requirements
  • Ability to communicate (oral/written) effectively in English to exchange information with our client.
Experience LevelSenior Level

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