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Key Responsibilities:
Ensure that the process transactions are processed as per Desktop procedures.
Ensure that the assigned targets are met in accordance with SLA and Internal standards.
Create and review Excel based trackers, review bills and claims, contacting claim handler.
Review and research correct claim number to attached documents.
File Copy pull documents from various claim systems and share with adjusters.
Manage complex claims processing functions, including process, and bill review.
Utilize related systems and technology proficiently to streamline processes.
Evaluate the impact of new releases, procedures, and suggestions.
Identify and address system errors, program malfunctions, workflow inefficiencies, or processing improvements by liaising with team leaders or supervisors.
Assist quality auditors as required and undertake additional responsibilities as assigned. * Communicate with handler for any clarification/authorization, if required
Skills
Technical Skills
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