Senior Associate-Back Office-Customer Service

5 days ago

Cochin, Kerala, India EXL Full time ₹ 9,00,000 - ₹ 12,00,000 per year
Description
  • Handle complex healthcare cases such as claims rework, provider appeals, and documentation analysis with minimal supervision.
  • Retrieve supporting documents from various systems, create appropriate case files, and ensure accurate attachment and classification.
  • Analyze each case to determine resolution or escalation to Subject Matter Experts (SMEs).
  • Implement SME guidance to complete case processing effectively and accurately.
  • Generate customer communication letters and ensure timely dispatch as per process requirements.
Responsibilities
  • Handle complex healthcare cases such as claims rework, provider appeals, and documentation analysis with minimal supervision.
  • Retrieve supporting documents from various systems, create appropriate case files, and ensure accurate attachment and classification.
  • Analyze each case to determine resolution or escalation to Subject Matter Experts (SMEs).
  • Implement SME guidance to complete case processing effectively and accurately.
  • Generate customer communication letters and ensure timely dispatch as per process requirements.
Qualifications

Graduation with minimum 1 year of experience 

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