Hiring freshers For healthcare domain in Hyderabad!!! Full Time

Position : Associate claims ( Backend operation role)

Location : Kokapet, Hyderabad and RGA techpark, Bangalore.

Qualification : Any graduate (Strictly No BE, B tech, BCA, MCA, MBA, M.com and Diploma)

Preferably looking for 2020 Batches.

Shift and Off : Night shift (can be rotational as well)

Saturday and Sunday fixed Off

Salary : Freshers : 2.3 LPA + 9 K night shift allowance

Position Summary:

Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures.
Works without significant guidance w/ basic understanding of multiple products (HMO, PPO, COB, etc.).
Must be able to successfully perform all the duties of the Claims Rep I.
Primary duties may include, but are not limited to: Able to handle more complex claims.
Good understanding of the application of benefit contracts, pricing, processing, policies,procedures, govt regs, coordination of benefits, & healthcare terminology.
Good working knowledge of claims and products, including the grievance and/or re-consideration process.
Excellent knowledge of the various operations of the organization, products, and services.
Reviews, analyzes and processes claims/policies related to events to determine extent of company liability and entitlement. Researches and analyzes claims issues.
Responds to inquiries, may involve customer/client contact.
Requires a HS diploma or equivalent; 0-3 years of claims processing experience; previous experience using PC, database system, and related software (word processing, spreadsheets,etc.); or any combination of education and experience, which would provide an equivalent background.
BOTH SIDE TRANSPORT AND FOOD FACILITIES AVAILABLE FOR ALL EMPLOYEES.

*Candidates should possess good communication skill

*Candidates should not have any backlogs

Tagged as: general / other software