Key Responsibilities
- Review and process Notice and Proof forms in line with company policies, guidelines, and regulatory requirements.
- Enter medical provider information accurately into claims processing systems.
- Ensure timely closure (adjudication) of follow‑ups to meet productivity and quality targets.
- Document all claim actions clearly and accurately within internal systems.
- Prepare, review, and finalize written communication for medical providers and claimants as per policy standards.
- Collaborate with Quality Assurance, Customer Support, and Medical Review teams to resolve complex cases.
- Escalate high‑risk or unusual cases to leadership or medical reviewers when necessary.
- Support continuous improvement by identifying trends, sharing feedback, and recommending process enhancements.
Qualifications:
- Graduates or post-graduates
- 1-2 years of experience in Voice/Nonvoice Operations.
- Excellent Communication skill
- Strong analytical and critical‑thinking skills with high attention to detail.
Preferred Skills:
- 1 - 2 years of experience in BPO.
- Background in healthcare administration, medical office operations, clinical support, or Insurance Sector.
- Understanding of the U.S. healthcare system, insurance terminology, and claims processes.
Job Types: Full-time, Permanent
Pay: ₹300,000.00 - ₹400,000.00 per year
Advantages:
- Commuter assistance
- Health insurance
- Paid sick time
- Provident Fund
Application Question(s):
- Are you ready to join within 2 weeks?