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Opening For Claim Adjudication Team Leader_ @ Berkmeer India

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 Opening For Claim Adjudication Team Leader_

Job Description

Hi,


Please find the JD below.


  • Review and scrutinize claims and process claims into the computer system as per the provided Desk Level Procedures (DLPs) /guidelines
  • Determine accurate claims payment or denial, identify and address dubious claims or system issues to process the claim accurately
  • Process claims in a timely manner, as per the required TAT
  • Correct errors or omissions on claim and investigate questionable data
  • To maintain quality as per the SLA
  • To maintain productivity as per the SLA
  • Continuously meet and exceed the assigned targets
  • Performance should be maintained in accordance with the process performance parameters
  • To maintain confidentiality of work done
  • To follow all regulatory requirements and procedures as per the company policy

Desired qualifications -Graduate

Desired years of experience Graduates + minimum 2 years of experience in Claim Adjudication, should have handled team & escalation


Note: Interested candidate can forward their resumes on Pr*********a@hg**********e.com with below details.


Total Exp:

Exp in Claims:

Team Handling exp:

Current CTC:

Exp CTC:

Notice Period:



Job Classification

Industry: BPO / Call Centre
Functional Area: Customer Success, Service & Operations,
Role Category: Operations
Role: Operations
Employement Type: Full time

Education

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

Contact Details:

Company: HGS Healthcare
Address: 1st Floor, 664/23 and 24, AMR Tech Park, Block 2,, Hongasandra, Bengaluru Urban, Bengaluru (Bangalore) Urban, BANGALORE, Karnataka, India
Location(s): Bengaluru

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Keyskills:   Team Handling claims Claims Adjudication SME Team Leader Subject Matter expert

 Job seems aged, it may have been expired!
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₹ 3,00,000 - 4,50,000 P.A

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Berkmeer India

1st Floor, 664/23 and 24, AMR Tech Park, Block 2,, Hongasandra, Bengaluru Urban, Bengaluru (Bangalore) Urban, BANGALORE, Karnataka, India