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EXL
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Executives

Executives

EXL

15 - 20 years

20 - 25 Lacs

noida

Posted:22 hours ago| Platform:

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Skills Required

supervisor claims analytical back office subject matter expert us healthcare powerpoint user acceptance testing operations ms office word

Work Mode

Work from Office

Job Type

Full Time

Job Description

Work Type Back Office ProcessSearch for claims related documents in different systems, create a case, attach the documents to the cases createdDetermine if case can be resolved or must be forwarded to a Subject Matter Expert (SME)Once the case is received from SME, action cases as guided by the SMEGenerate letter and send it to the customer
Essential Functions

Navigate through multiple system / applications for data gatheringProficiency with computer skills (navigating multiple systems and keyboarding)Understand the goals and standards to ensure that quality and productivity standards are metAccurate and timely updating of the database

Meet the agreed upon KPIs as per the operational definitions and targetsParticipate in the User Acceptance Testing as needed98% - 100% attendance during training/nesting period is required

Tying speed 25-30 words/minute with 90% accuracyMust be flexible to work hours with Monthly work schedules changes
Primary Internal Interactions Actively participate in the team meetings, discussions and provide inputsCalibrate, Cooperate and support the team in pursuit of achieving and exceeding team goals Primary External Interactions Email CommunicationsVerbal Communication Organizational Relationships Reports To : Team Manager Supervises : SkillsTechnical Skills Working knowledge of MS office (Word, Excel and Power point) and Internet / Outlook Process Specific Skills Advanced knowledge and ability to navigate CVSH-AETNA systems Strong comprehension skills (Need screening during interview)US Healthcare knowledge is preferred but not mandatory Soft skills (Desired) Effective communication skills, both verbal and written, Aptitude &Analytical AnilitySoft Skills (Minimum) None Education Requirements Bachelor s degree with a minimum 15 years of education Work Experience Requirements Fresher s, resources right out of the college can be hired to 1 year experience

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EXL

Business Process Management / Analytics

New York

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Executives