claims adjudication- mumbai

posted
contact
randstad india
position type
permanent
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posted
location
mumbai, maharashtra
function
Insurance
position type
permanent
experience
7-15
reference number
62287
contact
randstad india

job description

claims adjudication- mumbai

Candidate Profile:
You should have extensive experience (7-10 years) in Implementing and Managing a BPO process for US
Healthcare Insurance Claims Adjudication
You should have in-depth knowledge of business rules for processing US Healthcare Insurance claims.
Candidate should be familiar with the total cycle of the claims adjudication process in the insurance
company environment.
Example: Pre Adjudication process
        Auto Adjudication Process
You should be able to setup the entire process of Claims adjudication for new US customer.
You should also be familiar with ancillary services like provider credentialing etc.
Graduate with 10-15 year’s experience in US Healthcare BPO
Job Responsibilities
Transition the US client’s process to Indian team
Train team members on client’s requirements
Maintain Productivity and Quality as per client SLA.
Continuously meet and exceed the assigned target.
Keep update on regulatory changes in US Healthcare insurance industry.
Drive innovation and improvement in business process.

skills

claims adjudications

qualification

Any