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Process Associate-Claims

0 - 1 years

1 Lacs

Posted:21 hours ago| Platform: Naukri logo

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Full Time

Job Description

Ready to shape the future of work?

At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpacts AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges.


If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team thats shaping the future, this is your moment


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We are inviting applications for the role of Process Associate - Claims

In this role, you will be responsible for Data Entry of Information related to personal details, provider details, invoice information, procedure & impairment codes

Responsibilities
  • Validation of information entered by indexer
  • Check & Select accurate Pre-authorization
  • Identify duplicate Claims and take appropriate action
  • Reading & taking appropriate action on Alerts related to Members & providers.
  • Referring case to calling team for further information
  • Looking after Policy & Non-Policy messages
  • Interpreting, analyzing & further investigating the Policy messages on various tools like support point, info site etc.
  • Referring cases to various department like HCS, TMT, Triage after adjudication as and when required
  • Identify Front End Savings by investigating claims to Identify any over charge, ineligible chargers, contract compliance, Provider or Member Fraud
Qualifications we seek in you

Minimum qualifications

  • Any Graduate except technical
  • Freshers are eligible
Preferred qualifications
  • Good knowledge of healthcare & medical terminologies
  • Eye for detail & investigative skills
  • Good interpretation & comprehension skills
  • Proven experience


Why join Genpact?

  • Be a transformation leader

    Work at the cutting edge of AI, automation, and digital innovation
  • Make an impact

    Drive change for global enterprises and solve business challenges that matter
  • Accelerate your career

    Get hands-on experience, mentorship, and continuous learning opportunities
  • Work with the best

    Join 140,000+ bold thinkers and problem-solvers who push boundaries every day
  • Thrive in a values-driven culture

    Our courage, curiosity, and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress

Come join the tech shapers and growth makers at Genpact and take your career in the only direction that matters: Up.

Lets build tomorrow together.


Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values respect and integrity, customer focus, and innovation.
Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a 'starter kit,' paying to apply, or purchasing equipment or training.

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Genpact
Genpact

Business Consulting and Services

New York NY

10001 Employees

2658 Jobs

    Key People

  • Tiger Tyagarajan

    President and CEO
  • Pramod Bhasin

    Former CEO and Founder

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