Job Title: CSA Grade: H2 Job Category: Associate Function/Department: Operations Reporting to: Team Lead Role Description: Roles & Responsibilities (Indicative not exhaustive) A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications. The claims examiner should also route the claim to different department or provider / member for any missing information that required for claims adjudication. The claims need to be completed adhering to required TAT and quality SLA. Key Results \xef\x82\xb7 Production, Quality \xef\x82\xb7 Shift and reporting adherence \xef\x82\xb7 Process knowledge Role Holder Profile A. Preferred educational qualifications: Graduate Any discipline - 3 Years without Arrears B. Preferred work experience: Fresher
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