Non Customer Service Healthcare Claims Adjudication Team Member-BPS

Hexaware Technologies

2 - 7 years

2 - 6 Lacs

mumbai pune chennai

Posted:2 weeks ago| Platform:

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Skills Required

customer service us healthcare claims adjudication process improvement claims complaint handling team management training claims processing strategic thinking employee engagement recruitment customer service management medical billing

Work Mode

Work from Office

Job Type

Full Time

Job Description

We are looking for a skilled professional to join our team as a Non Customer Service Healthcare Claims Adjudication Team Member-BPS in Hexaware Technologies Ltd. The ideal candidate will have a strong background in healthcare claims adjudication and excellent customer service skills.

Roles and Responsibility

Manage and process healthcare claims according to company policies and procedures.
Conduct thorough analysis of claims documents to determine claim validity and accuracy.
Collaborate with internal teams to resolve complex claims issues and ensure timely resolution.
Develop and maintain knowledge of industry regulations and guidelines related to healthcare claims.
Provide exceptional customer service to both internal and external customers.
Identify areas for process improvement and implement changes to increase efficiency and productivity.

Job Requirements

Minimum 2 years of experience in healthcare claims adjudication or a related field.
Strong understanding of healthcare insurance industry operations and regulations.
Excellent communication and problem-solving skills.
Ability to work in a fast-paced environment and meet deadlines.
Strong analytical and organizational skills.
Experience working with non-customer service teams is an asset.

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