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    Executives EXL/E/994765 - Noida, India - exl

    exl
    exl Noida, India

    6 days ago

    EXL background
    Description

    Job Description

    Position Title, Responsibility Level

    Associate

    Function

    Healthcare

    Reports to

    Assistant Manager

    Permanent/ Temporary

    Permanent

    Span of Control

    Individual Contributor

    Location

    Noida, India

    Basic Function

  • Work Type – Blended Process (Voice+back office)
  • Search for claims related documents in different systems, create a case, attach the documents to the cases created
  • Determine if case can be resolved or must be forwarded to a Subject Matter Expert (SME)
  • Once the case is received from SME, action cases as guided by the SME
  • Generate letter and send it to the customer

    • Essential Functions

  • Navigate through multiple system / applications for data gathering
  • Proficiency with computer skills (navigating multiple systems and keyboarding)
  • Understand the goals and standards to ensure that quality and productivity standards are met
  • Accurate and timely updating of the database
  • Meet the agreed upon KPIs as per the operational definitions and targets
  • Participate in the User Acceptance Testing as needed
  • 98% - % attendance during training/nesting period is required
  • Tying speed – 25-30 words/minute with 90% accuracy
  • Must be flexible to work hours with Monthly work schedules changes

    • Primary Internal Interactions

  • Actively participate in the team meetings, discussions and provide inputs
  • Calibrate, Cooperate and support the team in pursuit of achieving and exceeding team goals

    • Primary External Interactions

  • Email Communications
  • Verbal Communication

    • Organizational Relationships

    Reports To : Team Manager Supervises :

    Skills

    Technical Skills

  • Working knowledge of MS office (Word, Excel and Power point) and Internet / Outlook

    • Process Specific Skills

  • Advanced knowledge and ability to navigate CVSH-AETNA systems.
  • Strong comprehension skills (Need screening during interview)
  • US Healthcare knowledge is preferred but not mandatory

    • Soft skills (Desired)

  • Effective communication skills, both verbal and written, Aptitude &Analytical Anility

    • Soft Skills (Minimum)

  • None

    • Education Requirements

    Bachelor's degree with a minimum 15 years of education

    Work Experience Requirements

    Fresher's, resources right out of the college can be hired to 1 year experience

    Annexure:

    Acknowledgement (acknowledge that the information contained in this document is factual and complete)

    ___________________________________ ___________________________________________ ____________________________

    Candidate Supervisor/Manager Date

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