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HC & Insurance Operations Senior Rep. @ NTT Data

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 HC & Insurance Operations Senior Rep.

Job Description

In this role you will be responsible for: Life Claims:

- Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit

 - Setting up a claim and then following up for pending requirements (if any)

- Examining the received documents, payment calculation and settlement

- Perform additional review before cutting the check Health Claims:

- Supporting different set of Health Claims products which includes Wellness, Critical Illness, Accident, Cancer, HI etc.

- Check the eligibility of the members product wise who will undergo different set of medical examination proceeding with additional care/treatment - To perform adjudication which will cover the additional review of the medical history proceeding with medical benefits

  Requirements for this role include:

- 0 -1 Year 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 and to be flexible to accommodate business requirements - Ability to communicate (oral/written) effectively in English to exchange information with our client.

Job Classification

Industry: IT Services & Consulting
Functional Area: Customer Success, Service & Operations,
Role Category: Non Voice
Role: Non Voice
Employement Type: Full time

Education

Under Graduation: Any Graduate
Post Graduation: Any Postgraduate
Doctorate: Any Doctorate

Contact Details:

Company: NTT Data
Location(s): Chennai

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Keyskills:   BPO Insurance operations Healthcare Wellness Windows Claims processing

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NTT Data

The Company NTT DATA Services is a top 10 global services company and part of the NTT Group, a Fortune 29 telecommunications and services company based in Japan. We operate with 60,000 professionals in 36 countries. Every day around the world we help clients explore new ways to respond to market...