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We have requirement for BPO HC & Insurance Operations Associate

1.00 to 3.00 Years   Chennai   06 Jun, 2023
Job LocationChennai
EducationNot Mentioned
SalaryNot Disclosed
IndustryIT - Software
Functional AreaGeneral / Other Software
EmploymentTypeFull-time

Job Description

    In this role you will be responsible for: Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a claim and then following up for pending requirements (if any) - Examining the received documents, payment calculation and settlement - Perform additional review before cutting the check Health Claims: - Supporting different set of Health Claims products which includes Wellness, Critical Illness, Accident, Cancer, HI etc. - Check the eligibility of the members product wise who will undergo different set of medical examination proceeding with additional care/treatment - To perform adjudication which will cover the additional review of the medical history proceeding with medical benefitsRequirements for this role include: - 1-3 Year of experience in any Healthcare BPO - University degree or equivalent that required 1+ 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-Friday 07:30 am to 04:30 pm CST and to be flexible to accommodate business requirements - Ability to communicate (oral/written) effectively in English to exchange information with our client.,

Keyskills :
following upbusiness requirementscritical illnesshealth claimsmedical historyhealthcare bpobpo

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