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The Senior Executive will process medical bills from US providers within the P&C; Insurance vertical, applying robust knowledge of healthcare terminology and analytical reasoning. The role demands high productivity, accuracy, and adherence to schedules while collaborating with internal teams and client stakeholders to resolve issues and ensure seamless claim adjudication.
- Process and adjudicate US medical bills with precision and compliance to client guidelines.
- Maintain productivity, accuracy, attendance, and schedule adherence metrics.
- Report performance, concerns, and feedback to the Assistant/Lead Assistant Manager.
- Escalate unresolved issues to the Manager as required.
- Collaborate with team members for clarification and support on process matters.
- Coordinate with client supervisors and SMEs for clarifications and training.
- Handle customer service inquiries and escalations professionally.
- Balance quality, productivity, and customer service standards in daily work.
- Participate in training sessions conducted by internal and client SMEs.
- Document and track daily work activities, prioritizing tasks effectively.
- Graduate from a reputable university.
- 3-6 years of experience in P&C; Insurance with US medical bill adjudication in a BPO environment.
- Strong computer navigation and keyboarding skills; proficient in MS Office.
- Sound knowledge of medical terminologies and insurance claim handling.
- Excellent decision‑making, problem‑solving, and analytical abilities.
- Good written communication, listening, and reasoning skills.
- Ability to multitask, prioritize, and manage daily workload.
- Self‑disciplined, result‑oriented, adaptable, and goal‑focused.
- Customer service orientation with effective escalation handling.
- Ability to work collaboratively with internal teams and client stakeholders.
📌 Senior Executive (Noida)
🏢 EXL
📍 Noida