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The Senior Healthcare & Insurance Operations Representative is responsible for processing claims, resolving payment issues, and ensuring client satisfaction.
Job Responsibility:
Process Adjudication claims and resolve for payment and Denials
Ensuring accurate and timely completion of transactions to meet or exceed client SLAs
Organizing and completing tasks according to assigned priorities
Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
Resolving complex situations following pre-established guidelines
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
Required schedule availability for this position is Monday-Friday 5.30PM/3.30AM IST (AR SHIFT)
Nice to have:
A background in healthcare insurance is beneficial