Excellent Opening with US Healthcare_ Claims
- Careernet
- 0 to 4 Yrs
- Hyderabad
- 4 years ago
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Job Description
Job Position: Associate Claims
Job Location: Bangalore / Hyderabad / Gurgaon
Shift: should be flexible for shift timing
Position Summary:
- Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures.
- Works without significant guidance w/ basic understanding of multiple products (HMO, PPO, COB, etc.).
- Must be able to successfully perform all the duties.
- Primary duties may include, but are not limited to: Able to handle more complex claims.
- Good understanding of the application of benefit contracts, pricing, processing, policies,procedures, govt regs, coordination of benefits, & healthcare terminology.
- Good working knowledge of claims and products, including the grievance and/or re-consideration process.
- Excellent knowledge of the various operations of the organization, products, and services.
- Reviews, analyzes and processes claims/policies related to events to determine extent of company liability and entitlement. Researches and analyzes claims issues.
- Responds to inquiries, may involve customer/client contact.
- Requires a 0-4years claims processing experience; previous experience using PC, database system, and related software (word processing, spreadsheets,etc.); or any combination of education and experience, which would provide an equivalent background.
Freshers - Mainly 2020 & 2021 batch of B.Com/BBA/BA /B.Sc and B.PharmExperience - 1 to 4 years with claims processing, adjudication with US healthcare Experience
Kindly share your updated resume and Pls do Acknowledgment
If interested, Kindly share your updated resume to vi**********i@ca******t.co.in
Employement Category:
Employement Type: Full timeIndustry: IT - Software Role Category: General / Other Software Functional Area: Not ApplicableRole/Responsibilies: Excellent Opening with US Healthcare_ ClaimsContact Details:
Company: CareernetLocation(s): Hyderabad
Keyskills: cob us healthcare coordination of benefits health claims liability contracts claims processing
Careernet
CareerNet recognizes the necessity of expertise and process management in a rapidly changing economic scenario. The recruitment process outsourcing service incorporates speed, flexibility and accountability to the recruitment process. The services for RPO in India is based on specific requirements...
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