Job Description

:Position Title, Responsibility LevelAssociateFunctionHealthcareReports toAssistant ManagerPermanent/ TemporaryPermanentSpan of ControlIndividual ContributorLocationNoida, IndiaBasic Function

• Work Type - Back office
• Search for claims related documents in different systems, create a case, attach the documents to the cases created
• Determine if case can be resolved or must be forwarded to a Subject Matter Expert (SME)
• Once the case is received from SME, action cases as guided by the SME
• Generate letter and send it to the customer

Essential Functions

• Navigate through multiple system / applications for data gathering
• Proficiency with computer skills (navigating multiple systems and keyboarding)
• Understand the goals and standards to ensure that quality and productivity standards are met
• Accurate and timely updating of the database
• Meet the agreed upon KPIs as per the operational definitions and targets
• Participate in the User Acceptance Testing as needed
• 98% - 100% attendance during training/nesting period is required
• Tying speed - 25-30 words/minute with 90% accuracy
• Must be flexible to work hours with Monthly work schedules changes

Primary Internal Interactions

• Actively participate in the team meetings, discussions and provide inputs
• Calibrate, Cooperate and support the team in pursuit of achieving and exceeding team goals

Primary External Interactions

• Email Communications
• Verbal Communication

Organizational RelationshipsReports To : Team Manager Supervises :SkillsTechnical Skills

• Working knowledge of MS office (Word, Excel and Power point) and Internet / Outlook

Process Specific Skills

• Advanced knowledge and ability to navigate CVSH-AETNA systems.
• Strong comprehension skills (Need screening during interview)
• US Healthcare knowledge is preferred but not mandatory

Soft skills (Desired)

• Effective communication skills, both verbal and written, Aptitude &Analytical Anility

Soft Skills (Minimum)

• None

Education RequirementsBachelors degree with a minimum 15 years of educationWork Experience RequirementsFreshers, resources right out of the college can be hired to 1 year experienceAnnexure:Acknowledgement (acknowledge that the information contained in this document is factual and complete)Candidate Supervisor/Manager Date

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