Job Description

Position Title, Responsibility Level Associate Function Healthcare Reports to Assistant Manager Permanent/ Temporary Permanent Span of Control Individual Contributor Location Noida, India Basic Function Work Type - Back office Search for claims related documents in different systems, create a case, attach the documents to the cases created Determine if case can be resolved or must be forwarded to a Subject Matter Expert (SME) Once the case is received from SME, action cases as guided by the SME Generate letter and send it to the customer Essential Functions Navigate through multiple system / applications for data gathering Proficiency with computer skills (navigating multiple systems and keyboarding) Understand the goals and standards to ensure that quality and productivity standards are met Accurate and timely updating of the database Meet the agreed upon KPIs as per the operational definitions and targets Participate in the User Acceptance Testing as needed 98% - 100% attendance during training/nesting period is required Tying speed - 25-30 words/minute with 90% accuracy Must be flexible to work hours with Monthly work schedules changes Primary Internal Interactions Actively participate in the team meetings, discussions and provide inputs Calibrate, Cooperate and support the team in pursuit of achieving and exceeding team goals Primary External Interactions Email Communications Verbal Communication Organizational Relationships Reports To : Team Manager Supervises : Skills Technical Skills Working knowledge of MS office (Word, Excel and Power point) and Internet / Outlook Process Specific Skills Advanced knowledge and ability to navigate CVSH-AETNA systems. Strong comprehension skills (Need screening during interview) US Healthcare knowledge is preferred but not mandatory Soft skills (Desired) Effective communication skills, both verbal and written, Aptitude &Analytical Anility Soft Skills (Minimum) None Education Requirements Bachelor\'s degree with a minimum 15 years of education Work Experience Requirements Fresher\'s, resources right out of the college can be hired to 1 year experience Annexure: Acknowledgement (acknowledge that the information contained in this document is factual and complete) Candidate Supervisor/Manager Date

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