Senior Executive

Job Description

Basic Functions Employee will be involved in processing medical bills received from providers based out of US. Transaction processing requires special knowledge of healthcare terminologies and/or reasoning mindset. Productivity Accuracy Attendance Schedule Adherence Team Primary Internal Interactions Assistant Manager / Lead Assistant Manager - Operations for reporting performance, clarifying concerns, and seeking feedback and support Manager for settling issues left unresolved by the Lead Assistant Manager / Assistant Manager Team members for seeking co-operation and clarification on process related matters and providing assistance and support when required SME/ Process Trainer for training as and when required Primary External Interactions Supervisors at client end for seeking clarifications and answering queries SMEs / Trainers at client end for training Organizational Relationships Reports To : Assistant Manager/Lead Assistant Manager Skills Technical Skills Good computer navigation skills, keyboarding skills Proficient in MS Office Understanding of P&C insurance, Claims Handling would be an advantage Process Specific Skills Sound knowledge of medical terminologies Good decision making skills Effectively balances quality, customer service and productivity standards Excellent problem solving & analytical skills Soft Skills (Desired) Self-discipline Result orientation Adaptability Goal oriented Soft Skills (Minimum) Good written communication skills Listening and comprehension skills Questioning and Reasoning Skills Customer Service focus and escalation handling skills Ability to multitask, prioritize and manage daily work activities Education Requirements Graduate from a reputable university Work Experience Requirements Recon /Appeal: 12-24 months of work experience, preferably in P&C Insurance with Medbill Adjudication & Reconsideration Appeal background for US geography in a BPO/outsourcing environment with good oral and written communication Show more Show less