Healthcare & Insurance Ops Sr rep

Healthcare & Insurance Ops Sr rep

NTT DATA Global Delivery Services Limited
Coimbatore
3 - 6 Years
Not Specified

Job Description


Job Description :
Req ID:100550
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.
We are currently seeking a Healthcare & Insurance Ops Sr rep to join our team in Coimbatore, Tamil Ndu (IN-TN), India (IN).
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 -1year 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-Friday 06:00 PM to 04:00 AM (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 Services
NTT 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 Details

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IT

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