Associate-Back Office-Customer Service

2 days ago

Noida, Uttar Pradesh, India EXL Talent Acquisition Team Full time ₹ 2,00,000 - ₹ 4,00,000 per year


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



ntentions in defense of our insured & file it in the Arb forum along with proofs & scene diagrams

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