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Hiring Claims Adjudicator Analyst - US Healthcare

5.00 to 8.00 Years   Chennai   30 Mar, 2024
NTT DATA INFORMATION PROCESSING SERVICES PRIVATE LIMITED
Job LocationChennai
EducationNot Mentioned
SalaryNot Disclosed
IndustryBPO / Call Center
Functional AreaAllied Health Services
EmploymentTypeFull-time

Job Description

    Work location- Chennai.Working days- Monday to FridayWork mode- Work from OfficeDesignation - Claims Operations Analyst
    • Candidate must have 5 years experience in Claims Adjudication.
    • End to End Claims Knowledge
    • Immediate joiners/ less than 30 days notice period are preferred.
    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 checkHealth 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 benefits Requirements for this role include 5 Years of experience in Claims US Healthcare- 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 fromMonday-Friday 06:00 PM to 04:00 AMand to be flexible to accommodate business requirements- Ability to communicate (oral/written) effectively in English to exchange information with our client.

Keyskills :
adjudicationclaimsclaims adjudication

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