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HC & Insurance Operations Senior Rep

0.00 to 1.00 Years   Chennai   03 Dec, 2020
NTT Global Delivery Services Limited
Job LocationChennai
EducationNot Mentioned
SalaryNot Disclosed
IndustryIT - Software
Functional AreaGeneral / Other Software
EmploymentTypeFull-time

Job Description

NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.RR#106912In this Role you will be Responsible For

  • Review and process insurance claims.
  • Validate Member, Provider and other Claims information.
  • Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure.
  • Coordination of Claim Benefits based on the Policy & Procedure.
  • Maintain productivity goals, quality standards and aging timeframes.
  • Scrutinizing Medical Claim Documents and settlements.
  • Organizing and completing tasks per assigned priorities.
  • Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the tea
  • Resolving complex situations following pre-established guidelines
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-Friday7:30 AM to 5:30 PM (weekend s if required) and to be flexible to accommodate extra hours due to business requirements
  • Ability to communicate (oral/written) effectively in English to exchange information with our client.
In this Role you will be Responsible For
  • Review and process insurance claims.
  • Validate Member, Provider and other Claims information.
  • Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure.
  • Coordination of Claim Benefits based on the Policy & Procedure.
  • Maintain productivity goals, quality standards and aging timeframes.
  • Scrutinizing Medical Claim Documents and settlements.
  • Organizing and completing tasks per assigned priorities.
  • Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the tea
  • Resolving complex situations following pre-established guidelines
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-Friday7:30 AM to 5:30 PM (weekend s if required) and to be flexible to accommodate extra hours due to business requirements
  • Ability to communicate (oral/written) effectively in English to exchange information with our client.
About NTT DATA ServicesNTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100. NTT DATA Services is an equal opportunity employer and will consider all qualified applicants for employment without regard to race, gender, disability, age, veteran-status, sexual orientation, gender identity, or any other class protected by law.Job Segment: Consulting, Cloud, Technology ,

Keyskills :
it servicesdata servicesbusiness processquality standardsbusiness requirementsteacloudclaimswindowsenglishscreenssoftwarebusinessexchangebenefitskeyboardinsuranceportfoliomedical

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