Job Description
What you’ll do
Roles and Responsibilities:
Process Adjudication claims and resolve for payment and Denials
Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process
Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations
Ensuring accurate and timely completion of transactions to meet or exceed client SLAs
Organizing and completing tasks according to assigned priorities.
Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
Resolving complex situations following pre-established guidelines
Requirements:
1-3 years of experience in processing claims adjudication and adjustment process
Experience in professional (HCFA), institutional (UB) claims (optional)
Both under graduates and post graduates can apply
Good communication (Demonstrate strong reading comprehension and writing skills)
Able to work independently, strong analytic skills
Required schedule availability for this position is Monday-Friday 5.30PM/3.30AM IST (AR SHIFT). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend’s basis business requirement.
Industry type
IT Services & Consulting
Department
BFSI, Investments & Trading
Role
Insurance Operations Executive
Role category
Life Insurance
Employment type
Full Time, Permanent
Education
Any Graduate, Any Postgraduate
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Insurance Operations Executive, Chennai
About company
NTT DATA GLOBAL DELIVERY SERVICES PRIVATE LIMITED
Headquarters
.
Reviews
1.0
NTT data was such a politics based company here they can throw u anyti...Read more
Anonymous
3.0
Job security is Excellent in this company.
Anonymous
5.0
It gives you time to plan your career while you work at NTT data and y...Read more
Anonymous
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Benefits
2230 users reported these benefits
Work From Home
Health Insurance
Cafeteria
Soft Skill Training
Job Training
Transport
Team Outings
Gym
Education Assistance
International Relocation
Child Care
Free Food
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Roles and Responsibilities:
Process Adjudication claims and resolve for payment and Denials
Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process
Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations
Ensuring accurate and timely completion of transactions to meet or exceed client SLAs
Organizing and completing tasks according to assigned priorities.
Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
Resolving complex situations following pre-established guidelines
Requirements:
1-3 years of experience in processing claims adjudication and adjustment process
Experience in professional (HCFA), institutional (UB) claims (optional)
Both under graduates and post graduates can apply
Good communication (Demonstrate strong reading comprehension and writing skills)
Able to work independently, strong analytic skills
Required schedule availability for this position is Monday-Friday 5.30PM/3.30AM IST (AR SHIFT). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend’s basis business requirement.
Industry type
IT Services & Consulting
Department
BFSI, Investments & Trading
Role
Insurance Operations Executive
Role category
Life Insurance
Employment type
Full Time, Permanent
Education
Any Graduate, Any Postgraduate
Create an alert for similar jobs
Insurance Operations Executive, Chennai
About company
NTT DATA GLOBAL DELIVERY SERVICES PRIVATE LIMITED
Headquarters
.
Reviews
1.0
NTT data was such a politics based company here they can throw u anyti...Read more
Anonymous
3.0
Job security is Excellent in this company.
Anonymous
5.0
It gives you time to plan your career while you work at NTT data and y...Read more
Anonymous
AmbitionBox
View all
Benefits
2230 users reported these benefits
Work From Home
Health Insurance
Cafeteria
Soft Skill Training
Job Training
Transport
Team Outings
Gym
Education Assistance
International Relocation
Child Care
Free Food
AmbitionBox
View all
Salary insights
Compare salaries of Insurance Operations Associate with similar companies.
Compare salary
AmbitionBox
Apply
Similar jobs
💡 Quick Summary
Seeking a career-building opportunity? The HC Insurance Operations Associate position is now open for candidates interested in the BPO Jobs sector. This role in Ahemdabad offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in BPO Jobs is a plus.
