Verified Job
Jobs
inviting application for claims
Jobs
#321067
Full Time
Job Description
With a startup spirit and +0,000+ curious and courageous minds, we have the expertise to go deep with the worlds biggest brands and we have fun doing it.
We dream in digital, dare in reality, and reinvent the ways companies work to make an impact far bigger than just our bottom line.
Were harnessing the power of technology and humanity to create meaningful transformation that moves us forward in our pursuit of a world that works better for people.
Now, were calling upon the thinkers and doers, those with a natural curiosity and a hunger to keep learning, keep growing., People who thrive on fearlessly experimenting, seizing opportunities, and pushing boundaries to turn our vision into reality.
And as you help us create a better world, we will help you build your own intellectual firepower. Welcome to the relentless pursuit of better.
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
We dream in digital, dare in reality, and reinvent the ways companies work to make an impact far bigger than just our bottom line.
Were harnessing the power of technology and humanity to create meaningful transformation that moves us forward in our pursuit of a world that works better for people.
Now, were calling upon the thinkers and doers, those with a natural curiosity and a hunger to keep learning, keep growing., People who thrive on fearlessly experimenting, seizing opportunities, and pushing boundaries to turn our vision into reality.
And as you help us create a better world, we will help you build your own intellectual firepower. Welcome to the relentless pursuit of better.
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
