Skip to content
Location(s)

  • Posting Location: Noida, India

Country
India
Working Schedule
Full-Time
Work Arrangement
Hybrid
Relocation Assistance Available
No
Posted Date
01-May-2024
Job ID
3200

Description and Requirements

Job Responsibilities

  • Analyze and process claims in a productive environment through our TLC claim system, SIR, plan specs and

specimen policy

  • Appropriately interpret a variety of plan provisions and process claims accordingly, calculating claim payments and

overpayments

  • Review claims for receipt of all needed documentation and make outbound calls to providers for additional

information

  • Collaborate with our Claim Support Specialists, Customer Call Center and Care Coordinators to provide a seamless

        claims experience

  • Abide by department guidelines and appropriately follow up on necessary tasks to process claims
  • Meet quality review standards of processed claims
  • Meet performance standards for financial accuracy, processing accuracy and claim timeliness

Respond to insured inquiries regarding specific claim details via telephone conversations and/or written

correspondence

  • Gather and analyze information skillfully to identify and resolve problems in a timely manner