BPO HC & Insurance Operations Senior Representative

BPO HC & Insurance Operations Senior Representative

NTT Data
3-6 years
Not Specified

Job Description

Job Responsibilities:
. Review claim rules and workflows
. Reviews claim requests to determine eligibility for processing and escalate to management on a case to case basis
. 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 team
. Resolving complex situations following pre-established guidelines
Desired Skills & Qualification:
. University degree or equivalent that required 3+ years of formal studies
. Possess excellent typing skill
. Ability to understand logic of standard Payment posting (i.e. Payment, Denials, Adjustments etc.)
. 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 PM to 05:30 AM and to be flexible to accommodate business requirements
. Ability to communicate (oral/written) effectively in English to exchange information with our client.

Job Details

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