Hiring Freshers For Claim Adjudication (Backoffice- US Healthcare)

NTT DATA, Inc.

0 years

2 Lacs

noida

Posted:21 hours ago| Platform:

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Skills Required

fresher excel backend non voice insurance claims adjudication backend process non voice process back office claims processing

Work Mode

Hybrid

Job Type

Full Time

Job Description

In this Role you will be Responsible For:

Review and process insurance claims.
Validate Member, Provider and other Claims information.
Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure.
Coordination of Claim Benefits based on the Policy & Procedure.
Maintain productivity goals, quality standards and aging timeframes.
Scrutinizing Medical Claim Documents and settlements.
Organizing and completing tasks per 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 for this role include:

Should be a Graduate.
0-1 Year of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.
Should be comfortable to work in US Shift.

**Required schedule availability for this position is Monday-Friday (US Shift). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement.

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