Job Description

: ? Executive/Sr. Executive Position Title, Responsibility Level Executive/Sr. Executive Function Operations ? Insurance ? P&C Reports to Assistant Manager/Lead Assistant Manager Permanent/ Temporary Permanent Span of Control Direct - Nil Location WFH & Noida - SEZ Basic Functions

• Employee will be involved in processing medical bills received from providers based out of US. Transaction processing requires special knowledge of healthcare terminologies and/or reasoning mindset.
• Productivity
• Accuracy
• Attendance
• Schedule Adherence

Primary Internal Interactions Team:

• Assistant Manager / Lead Assistant Manager - Operations for reporting performance, clarifying concerns, and seeking feedback and support
• Manager for settling issues left unresolved by the Lead Assistant Manager / Assistant Manager
• Team members for seeking co-operation and clarification on process related matters and providing assistance and support when required
• SME/ Process Trainer for training as and when required

Primary External Interactions

• Supervisors at client end for seeking clarifications and answering queries
• SMEs / Trainers at client end for training

Organizational Relationships Reports To : Assistant Manager/Lead Assistant Manager Skills Technical Skills

• Good computer navigation skills, keyboarding skills
• Proficient in MS Office
• Understanding of P&C insurance, Claims Handling would be an advantage

Process Specific Skills

• Sound knowledge of medical terminologies
• Good decision making skills
• Effectively balances quality, customer service and productivity standards
• Excellent problem solving & analytical skills

Soft skills (Desired)

• Self-discipline
• Result orientation
• Adaptability
• Goal oriented

Soft Skills (Minimum)

• Good written communication skills
• Listening and comprehension skills
• Questioning and Reasoning Skills
• Customer Service focus and escalation handling skills
• Ability to multitask, prioritize and manage daily work activities

Education Requirements

• Graduate from a reputable university

Work Experience Requirements

• Payment Adjudication:12-24 months of work experience, preferably in P&C Insurance with Medbill Adjudication with background for US geography in a BPO/outsourcing environment with good oral and written communication

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