Job Description

About FirstsourceFirstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes.We are trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, and India. Our \'rightshore\' delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals.Our clientele includes Fortune 500 and FTSE 100 companiesJob Title: CSA and Senior CSAGrade: H1/H2Job Category: AssociateFunction/Department: OperationsReporting to: Team LeadRole 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 needs to be completed adhering to required TAT and quality SLA.Key Results

• Production, Quality
• Shift and Schedule adherence
• Process Knowledge

Role Holder Profile

• Preferred educational qualifications: Arts and science Graduation (Any discipline - 3 years) without arrears.

C. Skills and Competenciesi. Functional / Technical:

• Good Communication Skills
• Listening & Comprehension

ii. Behavioral:

• Shift Adherence
• Floor Decorum
• Interpersonal skills
• Team Player

Firstsource Solutions