A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny
the claim submitted by member or providers with respect to client specifications. The claims
examiner should also route the claim to different department or provider / member for any
missing information that required for claims adjudication. The claims needs to be completed
adhering to required TAT and quality SLA.
Key Responsibility:
1. Production, Quality
2. Shift and Schedule adherence
3. Process Knowledge
Key Sk ills :
• Valuable Communication Skills
• Listening & Comprehension
Reporting Structure:
Sr Executive – Team Leader – Manger Operations.
Success Profile:
Qualification & Experience :
Graduation (Any discipline - 3 years) without arrears.
📌 CSA (Bengaluru)
🏢 Firstsource
📍 Bengaluru
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