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    HC & Insurance Operations Associate - Coimbatore, India - NTT DATA Services

    NTT DATA Services
    NTT DATA Services Coimbatore, India

    1 week ago

    NTT DATA Services background
    Customer Service / Support
    Description

    In this Role you will be Responsible For

    • Processing member enrollment and change forms, including data entry
    • Verifying proper completion of enrollment and change documentation.
    • Requesting and verifying information as needed to expedite enrollment.
    • Verifying payments, process adjustments, refunds and perform reconciliation of accounts
    • Ensuring accurate and timely completion of transactions to meet or exceed client SLAs.
    • Processing daily enrollee invoices and premium reconciliation for members.
    • 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

    Requirements for this role include:

    • University degree or equivalent that required formal studies of the English language and basic Math
    • 1+ year(s) of experience processing claims for the US healthcare market
    • 1+ years of experience where you had to apply business rules to varying fact situations and make appropriate decisions
    • 1+ years of data entry experience that required a focus on quality including attention to detail, accuracy, and accountability for your work product.
    • 1+ years of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.
    • 1+ years of experience that required prioritizing your workload to meet deadlines

    **Required schedule availability for this position is Monday-Friday 6PM/4AM IST 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.

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