The Job logo

What

Where

Sign in

Process Associate - Claims

ApplyJoin for More Updates

You must Sign In before continuing to the company website to apply.

Smart SummaryPowered by Roshi
We are hiring for the role of Process Associate - Claims. Your responsibility will be data entry of personal and provider details, invoice information, procedure & impairment codes. You will also be validating the entered information, selecting accurate pre-authorization, identifying duplicate claims, and taking appropriate action on alerts. Attention to detail and investigative skills are crucial in this role.

We are inviting applications for the role of Process Associate - Claims
In this role, you will be responsible for Data Entry of Information related to personal details, provider details, invoice information, procedure & impairment codes


Responsibilities
•    Validation of information entered by indexer
•    Check & Select accurate Pre-authorization
•    Identify duplicate Claims and take appropriate action
•    Reading & taking appropriate action on Alerts related to Members & providers.
•    Referring case to calling team for further information
•    Looking after Policy & Non-Policy messages
•    Interpreting, analyzing & further investigating the Policy messages on various tools like support point, info site etc.
•    Referring cases to various department like HCS, TMT, Triage after adjudication as and when required
•    Identify Front End Savings by investigating claims to Identify any over charge, ineligible chargers, contract compliance, Provider or Member Fraud


Qualifications we seek in you
Minimum qualifications
•    Any Graduate except technical
•    Freshers are eligible
Preferred qualifications 
•    Good knowledge of healthcare & medical terminologies
•    Eye for detail & investigative skills
•    Good interpretation & comprehension skills
•    Proven experience
 

Set alert for similar jobsProcess Associate - Claims role in Noida, India
Genpact Logo

Company

Genpact

Job Posted

a year ago

Job Type

Full-time

WorkMode

On-site

Experience Level

0-2 Years

Category

Operations

Locations

Noida, Uttar Pradesh, India

Qualification

Bachelor

Applicants

Be an early applicant

Related Jobs

Genpact Logo

Process Associate- Claims

Genpact

Noida, Uttar Pradesh, India

Posted: a year ago

Responsibilities •    Transaction processing according to standard work & SOP   •    Prioritize transactions according to documented guidelines to meet SLA  •    Plans and organizes tasks and work responsibilities to achieve objectives  •    Comprehending and responding to customer inquiries. Identify, research, and resolve problems.  •    Assist with/perform other team tasks as required.  •    Accurately maintain and record data for production  •    Understand and apply LM’s Core Competencies.  •    Interact with Onshore /Offshore and customer in a respectful and professional manner via email and on calls if required  Qualifications we seek in you Any graduate (except technical, BE and LLB)  Essential skills:   •    Good analytical and problem solving skills  •    Ability to communicate verbally and through emails with businesses  •    Proven ability to build effective working relationships with clients & internal stakeholders  •    Positive attitude with a focus on continuous process improvement and an open mind to change  •    BPO or Captive work experience.  •    Excellent Written and Verbal Communication skills.  •    Ability to facilitate and own resolution of discrepancies and disputes.  •    Ability to handle multiple priorities within strict time constraints.  •    Ability to independently research, analyze, and recommend solutions to close open items and discrepancies.  •    Ability to successfully interact in a challenging and high-risk collection environment with demanding internal and external customers.    Technical skills:     •    Excellent command and Excel  tools from day to day operations delivery standpoint  •    Well versed with MS Excel, MS Word  •    Good typing skill with high accuracy.     Type of Experience (Not mandate)  •    Property and casualty insurance (UA or underwriting assistant)  •    BPO work experience with another Genpact global client is a preference.  

Genpact Logo

Process Associate

Genpact

Noida, Uttar Pradesh, India

Posted: a year ago

Join us as Process Associate, Wealth Management at Genpact. We are looking for someone with strong processing skills and a positive attitude. The role involves managing Super accounts, handling customer requests, and ensuring attention to detail. Good communication and interpersonal skills are required. The ideal candidate should be a B. Com Graduate and possess good Excel skills. Apply now!

Genpact Logo

Process Associate OTC

Genpact

Noida, Uttar Pradesh, India

Posted: a year ago

We are looking for a candidate to handle collection calls, process cash applications, and resolve customer disputes. The ideal candidate should have good communication skills and be proficient in account reconciliation. A background in commerce and English language skills are preferred. Join our team and contribute to our order-to-cash process!

Genpact Logo

Process Associate OTC

Genpact

Noida, Uttar Pradesh, India

Posted: a year ago

Responsibilities •    Making collection calls to the customers, emailing/faxing invoices or getting hard copies mailed out to customers as per their requests. •    Identify and rectify unidentified cash and handle end to end process of Cash applications. •    Process cash application functions to invoices at assigned sites ensuring the DRR (Daily Receipt Reconciliation) is completed in a timely, accurate, and confidential manner. •    Follow up on customer/internal disputes, customer questions and working between departments to get a resolution. •    Reconcile orders to match customer books, including validating credits or debits and sending them to customer for collection or refund Qualifications Minimum qualifications •    Graduate in Commerce (B.Com) •    Freshers are eligible •    Strong English language skills (verbal and written) Preferred qualifications •    Significant experience in Accounts Receivable/Order to Cash

Genpact Logo

Process Developer

Genpact

Noida, Uttar Pradesh, India

Posted: 6 months ago

Responsible for Daily, Weekly & Monthly MIS Reporting. Provide support and maintenance to existing MIS, generate reports, and analyze business information for operational improvements. Required technical skills: SDLC, VBA scripting, MS Excel, MS Access. On-site opportunity at Genpact, Noida, India.

Genpact Logo

Process Developer

Genpact

Noida, Uttar Pradesh, India

Posted: a year ago

Responsibilities In Loan Preparation team, will be responsible for Executing pre-defined tasks with minimum supervision Execute transactions and complete the assigned routine tasks within specified time frames and meeting the agreed accuracy levels Adherence to defined performance level parameters (efficiency, quality etc.) Sharing standard methodologies and process ideas Identifies problem through audits or customer feedback. Qualifications we seek in you Minimum qualifications B. Com Or any other equivalent Graduate degree Preferred skills Prior-experience in Retail Banking/Mortgage or Finance industry Proficient in written and verbal English interpersonal skills. Good knowledge of MS Office. Ability to type between 40-60 words per minute with more than 90% accuracy.