Hc & Insurance Operations Senior Rep.
Year Noida, Uttar Pradesh, India
Job Description
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NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.
We are currently seeking a [[HC & Insurance Operations Senior Rep.]] to join our team in [[Uttar Pradesh]], [[Uttar Pradesh]], [[India]].
In this Role you will be Responsible For
- Review and process insurance claims.
- Validate Member, Provider and other Claims information.
- Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure.
- Coordination of Claim Benefits based on the Policy & Procedure.
- Maintain productivity goals, quality standards and aging timeframes.
- Scrutinizing Medical Claim Documents and settlements.
- Organizing and completing tasks per assigned priorities.
- Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the tea
- Resolving complex situations following pre-established guidelines
- 0 -1 year of experience in any Healthcare BPO
- University degree or equivalent that required 3+ years of formal studies
- 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.
- Ability to work scheduled shifts from Monday-Friday 06:00 PM to 04:00 AM (weekend\xe2\x80\x99s if required) and to be flexible to accommodate extra hours due to business requirements
- Ability to communicate (oral/written) effectively in English to exchange information with our client.
About NTT DATA Services NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100. NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.
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Job Detail
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Job IdJD3035706
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IndustryNot mentioned
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Total Positions1
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Job Type:Full Time
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Salary:Not mentioned
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Employment StatusPermanent
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Job LocationNoida, Uttar Pradesh, India
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EducationNot mentioned
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ExperienceYear