HC & Insurance Operations Assciate

DATA Services
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Mid-level industry position

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Company: NTT DATA Services

NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.

We are currently seeking a HC & Insurance Operations Assciate to join our team in Chennai, Tamil Nādu (IN-TN), India (IN).

 

 

  • Setting up a claim and then following up for pending requirements (if any)
  • Examining the received documents, payment calculation and settlement
  • Perform additional review before cutting the check

 

Health Claims:

  • Supporting different set of Health Claims products which includes Wellness, Critical Illness, Accident, Cancer, HI etc.
  • Check the eligibility of the members product wise who will undergo different set of medical examination proceeding with additional care/treatment
  • To perform adjudication which will cover the additional review of the medical history proceeding with medical benefits

Requirements for this role include:

  • 2-3 Year of experience in any Healthcare BPO
  • University degree or equivalent that required 3+ years of formal studies
  • 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.
  • Ability to work scheduled shifts from Monday-Friday 06:00 PM to 04:00 AM and to be flexible to accommodate business requirements 
  • Ability to communicate (oral/written) effectively in English to exchange information with our client.

In this role you will be responsible for:

 

  • Setting up a claim and then following up for pending requirements (if any)
  • Examining the received documents, payment calculation and settlement
  • Perform additional review before cutting the check

 

Health Claims:

  • Supporting different set of Health Claims products which includes Wellness, Critical Illness, Accident, Cancer, HI etc.
  • Check the eligibility of the members product wise who will undergo different set of medical examination proceeding with additional care/treatment
  • To perform adjudication which will cover the additional review of the medical history proceeding with medical benefits

Requirements for this role include:

  • 2-3 Year of experience in any Healthcare BPO
  • University degree or equivalent that required 3+ years of formal studies
  • 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.
  • Ability to work scheduled shifts from Monday-Friday 06:00 PM to 04:00 AM and to be flexible to accommodate business requirements 
  • Ability to communicate (oral/written) effectively in English to exchange information with our client.

About NTT DATA Services

NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.

NTT DATA Services is an equal opportunity employer and will consider all qualified applicants for employment without regard to race, gender, disability, age, veteran-status, sexual orientation, gender identity, or any other class protected by law.

Job Segment: Consulting, Cloud, Technology

More Information

Posted

Post Expires

Type

Mid-level industry position

Chennai%2C%20India

Chennai , India