- Work Type - 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
- 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
- Actively participate in the team meetings, discussions and provide inputs
- Calibrate, Cooperate and support the team in pursuit of achieving and exceeding team goals
- Email Communications
- Verbal Communication
- Working knowledge of MS office (Word, Excel and Power point) and Internet / Outlook
- Advanced knowledge and ability to navigate CVSH-AETNA systems.
- Strong comprehension skills (Need screening during interview)
- US Healthcare knowledge is preferred but not mandatory
- Effective communication skills, both verbal and written, Aptitude &Analytical Anility
- None
Executives EXL/E/1011997 - Kochi, India - exl
Description
Job Description
Position Title, Responsibility Level
Associate
Function
Healthcare
Reports to
Assistant Manager
Permanent/ Temporary
Permanent
Span of Control
Individual Contributor
Location
Kochi, India
Basic Function
Essential Functions
Primary Internal Interactions
Primary External Interactions
Organizational Relationships
Reports To : Team Manager Supervises :
Skills
Technical Skills
Process Specific Skills
Soft skills (Desired)
Soft Skills (Minimum)
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