Healthcare Associate Executive

2 days ago

Cochin, Kerala, India EXL SERVICES Full time ₹ 2,00,000 - ₹ 6,00,000 per year

Executives

Job Description

Position Title, Responsibility Level

Associate

Function

Healthcare

Reports to

Assistant Manager

Permanent/ Temporary

Permanent

Span of Control

Individual Contributor

Location

Kochi, India

Basic Function
  • Work Type - Back office
  • Search for claims related documents in different systems, create a case, attach the documents to the cases created
  • Determine if case can be resolved or must be forwarded to a Subject Matter Expert (SME)
  • Once the case is received from SME, action cases as guided by the SME
  • Generate letter and send it to the customer
Essential Functions
  • Navigate through multiple system / applications for data gathering
  • Proficiency with computer skills (navigating multiple systems and keyboarding)
  • Understand the goals and standards to ensure that quality and productivity standards are met
  • Accurate and timely updating of the database
  • Meet the agreed upon KPIs as per the operational definitions and targets
  • Participate in the User Acceptance Testing as needed
  • 98% - 100% attendance during training/nesting period is required
  • Tying speed – 25-30 words/minute with 90% accuracy
  • Must be flexible to work hours with Monthly work schedules changes
Primary Internal Interactions
  • Actively participate in the team meetings, discussions and provide inputs
  • Calibrate, Cooperate and support the team in pursuit of achieving and exceeding team goals
Primary External Interactions
  • Email Communications
  • Verbal Communication

Organizational Relationships

Reports To : Team Manager Supervises :

Skills Technical Skills
  • Working knowledge of MS office (Word, Excel and Power point) and Internet / Outlook

Process Specific Skills

  • Advanced knowledge and ability to navigate CVSH-AETNA systems.
  • Strong comprehension skills (Need screening during interview)
  • US Healthcare knowledge is preferred but not mandatory

Soft skills (Desired)

  • Effective communication skills, both verbal and written, Aptitude &Analytical Anility

Soft Skills (Minimum)

  • None
Education Requirements

Bachelor's degree with a minimum 15 years of education

Work Experience Requirements

Fresher's, resources right out of the college can be hired to 1 year experience

Annexure:

Acknowledgement (acknowledge that the information contained in this document is factual and complete)

___________________________________ ___________________________________________ ____________________________

Candidate Supervisor/Manager Date

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