Backend Executive - Gautam Budh Nagar, India - Vighnaharta
Description
Roles and Responsibilities
- 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 preestablished guidelines
- 0 1 year of experience in any Healthcare BPO
- University degree or equivalent that required 3+ years of formal studies
- Ability to work scheduled shifts from Monday-Friday (weekends 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.
Job Types:
Full-time, Regular / Permanent, Fresher
Salary:
From ₹15,076.95 per month
Benefits:
- Food provided
- Health insurance
- Paid sick time
- Provident Fund
Schedule:
- Day shift
- Monday to Friday
- Night shift
- Rotational shift
Supplemental pay types:
- Overtime pay
- Performance bonus
- Shift allowance
Ability to commute/relocate:
- Gautam Buddha Nagar,
Uttar Pradesh:
Reliably commute or planning to relocate before starting work (required)
Experience:
- total work (preferred)
- Health insurance
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