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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