HC & Insurance Operations Associate Chennai null

Responsibilities

• Meet & Exceed Production, Productivity and Quality goals 
• Process Insurance Claims timely and qualitatively 
• Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities 
• Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing 
• Be a team player and work seamlessly with other team members on meeting customer goals 

Requirements

• Experience in working in an office environment set up utilizing Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools 
• Candidates should be flexible & support the team during the crisis period 
• Should be confident, highly committed and result-oriented 
• Experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers 
• Experience in a role that required a focus on quality including attention to detail, accuracy, and accountability for your work product 
• Candidate should be flexible to work from home and the in-office environment with a Broadband connection while working at home 
• 3+ years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT 
• 2+ years (s) of experience in roles that required understanding and interpreting complex documents such as medical records and legal contracts