npact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for
clients
.
Powered by our purpose - the relentless pursuit of a world that works better for people - we serve and transform leading enterprises, including the Fortune Global 500, with our deep business and industry knowledg
e
,
digital operations services, and
expertise
in data, technology, and AI.
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
Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws.
Genpact is committed to creating a dynamic work environment that values respect and integrity, customer focus, and innovation.
Get to know us at
www.genpact.com
and
on
X
, Facebook, LinkedIn, and YouTube.
Furthermore, please do note that Genpact does not charge fees to process job applications and applicants
are not required to
pay to
participate
in our hiring process in any other way. Examples of such