Subject Matter Expert
2 days ago
Role & responsibilities
- Assist in validating and processing health insurance claims
- Ensure accurate data entry and documentation of claim details in the claims management system.
- Support the review of claims for completeness and compliance with policy terms and conditions.
- Coordinate with internal departments to gather missing documentation or information.
- Flag potential discrepancies or anomalies for further review.
- Maintain confidentiality and data protection standards in handling sensitive health information.
- Respond to basic inquiries from policyholders regarding claim status and documentation requirements.
- Ensure timely processing of claims to meet service level agreements (SLAs).
- Assist in generating reports for internal tracking and audit purposes.
- Stay updated on changes in claims procedures and regulatory requirements in Hong Kong.
- Support continuous improvement initiatives in claims processing workflows.
- Participate in training sessions related to claims systems and regulatory updates.
- Service and resolve inquiries from customers, members, beneficiaries, and others regarding Health Care products and benefits across multiple product lines
- Ability to communicate effectively across multiple channels, including phone, e-mail, chat, and text
- Ability to succinctly collect information from a customer to set up a new claim
- Ability to gather information from multiple source systems to understand and articulate the status of a claim and what information may be needed, next steps in processing, etc.
Preferred candidate profile
- Bachelors degree in Life Sciences, Nursing, Healthcare Administration, or related field.
- Basic understanding of medical terminology and health insurance products.
- Proficiency in Microsoft Office and insurance processing systems.
-
Subject Matter Expert
6 days ago
Coimbatore, Tamil Nadu, India FACE Prep Full time ₹ 15,00,000 - ₹ 28,00,000 per yearCompany DescriptionFACE Prep is one of India's largest placement-focused skill development companies for job preparation. Since its inception in 2008, FACE Prep has helped millions of students kickstart their careers in the tech sector. We offer a variety of programs including Masterclasses, self-paced prep, and workshops/bootcamps to help students acquire...
-
Subject Matter Expert
2 weeks ago
Coimbatore, Tamil Nadu, India SNS iNNovation Hub Full time ₹ 8,00,000 - ₹ 12,00,000 per yearAbout the RoleWe are seeking a highly skilled and experienced Subject Matter Expert (SME) to join our dynamic team. The SME will play a pivotal role in product development and training, leveraging their expertise in advanced technical domains to drive innovation and mentor teams. This position requires a blend of hands-on technical proficiency, system...
-
Subject Matter Expert(Data Structures
2 days ago
Coimbatore, Tamil Nadu, India FACE Prep Full time ₹ 9,00,000 - ₹ 12,00,000 per yearCompany DescriptionFACE Prep is one of India's largest placement-focused skill development companies for job preparation. Founded in 2008, FACE Prep has enabled millions of students to launch their careers in the tech sector. Our programs include Masterclasses, self-paced last mile prep, and workshops/bootcamps that help students acquire the skills needed...
-
Subject Matter Expert
2 weeks ago
Coimbatore, Tamil Nadu, India beBeeConsultant Full time ₹ 20,00,000 - ₹ 25,00,000Technical Expert ConsultantWe are looking for Senior Subject Matter Experts (SMEs) across multiple domains, including Software Development, Data Engineering, AI/ML, Software Development Engineering in Test (SDET), and Data Structures & Algorithms (DSA).This role combines deep technical expertise with a passion for curriculum innovation and excellence. As an...
-
Subject Matter Expert
16 hours ago
Coimbatore, Tamil Nadu, India Avantor Full time ₹ 2,50,000 - ₹ 7,50,000 per yearAvantor is looking for a dynamic, forward-thinking, and experienced Subject Matter Expert role is responsible for identifying and finding end to end solutions in fixing process gaps and ensuring timely payment from customer on outstanding accounts receivable dollars there by enabling smooth transition from order entry to cash experience for various customer...
-
General Insurance Subject Matter Expert
2 days ago
Coimbatore, Tamil Nadu, India KGiSL Full time ₹ 12,00,000 - ₹ 36,00,000 per yearNumber of Positions:: 1Primary Skills:: CLIENT HANDLING,INSURANCE FUNCTION KNOWLEDGEJob Description:Vacancy Details.Job Description:Job Title: General Insurance Subject Matter Expert (SME)Job Purpose:The General Insurance SME will work closely with product teams, Sales/Pre-Sales, and clients to offer expert insights into general insurance products and...
-
Subject Matter Expert
6 days ago
Coimbatore, Tamil Nadu, India Avantor Full time ₹ 9,00,000 - ₹ 12,00,000 per yearThe Opportunity:Avantor is looking for a dynamic, forward-thinking, and experienced Subject Matter Expert role is responsible for identifying and finding end to end solutions in fixing process gaps and ensuring timely payment from customer on outstanding accounts receivable dollars there by enabling smooth transition from order entry to cash experience for...
-
Subject Matter Expert
2 weeks ago
Coimbatore, Tamil Nadu, India Avantor Full time ₹ 9,00,000 - ₹ 12,00,000 per yearThe Opportunity:Works independently under close supervision, assists in maintaining control on credit accounts. Conducts high-level analysis of accounts to identify those that may require difficult collection procedures and also provides input to investigations of the new credit applications in order to obtain all of the necessary information that allows for...
-
Subject Matter Expert
4 weeks ago
Coimbatore, Tamil Nadu, India Avantor Full timeJob DescriptionThe Opportunity:Works independently under close supervision, assists in maintaining control on credit accounts. Conducts high-level analysis of accounts to identify those that may require difficult collection procedures and also provides input to investigations of the new credit applications in order to obtain all of the necessary information...
-
SME Operations
2 weeks ago
Coimbatore, Tamil Nadu, India Aegan Technologies Private Limited Full timeJob DescriptionJob Description Subject Matter Expert (SME) OperationsProcess: US Healthcare Claims AdjudicationLocation: CoimbatoreMode: Work from OfficeShift: RotationalInterview Round: Walkin on (19th September& 20th September)Education: Any GraduateExperience Required- Minimum 4 years of experience in US Healthcare Claims Adjudication- In-depth process...