Senior Executive

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 :

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: 24 -60 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