HC & Insurance Operations Associate Job at NTT DATA (Chennai)

Job Description

The Insurance Operations Associate will process insurance claims, ensuring quality and productivity goals are met. Candidates should have strong analytical and communication skills, with a focus on customer service. A flexible schedule is required, including potential overtime and weekend work. Experience in insurance claims processing is preferred, along with knowledge of relevant coding systems.

Job Responsibility

Process Insurance Claims timely and qualitatively
Meet & Exceed Production, Productivity and Quality goals
Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities
Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing
Be a team player and work seamlessly with other team members on meeting customer goals

Requirements

Both Under Graduates and Post Graduates can apply
Excellent communication (verbal and written) and customer service skills
Able to work independently
strong analytic skills
Detail-oriented
ability to organize and multi-task
Ability to make decisions
Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications
Demonstrate strong reading comprehension and writing skills
Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills
Ability to work in a team environment
Handling different Reports - IGO/NIGO and Production/Quality
To be in a position to handle training for new hires
Work together with the team to come up with process improvements
Strictly monitor the performance of all team members and ensure to report in case of any defaulters
Encourage the team to exceed their assigned targets
Candidate should be flexible & support team during crisis period
Should be confident, highly committed and result oriented
Experience on working in an office environment set up utilizing Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools
Experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers
Experience in a role that required a focus on quality including attention to detail, accuracy, and accountability for your work product
Candidate should be flexible to work from home and office environment
Broadband connection is must while working from home

Nice to have

3+ years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT
2+ year(s) of experience in role that required understanding and interpreting complex documents such as medical records and legal contracts

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HC & Insurance Operations Associate

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HC & Insurance Operations Associate

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Hc & Insurance Operations Associate

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