Claims representative
About Us
At reputed company we are guided by a common purpose to help reputed company financial lives reputed company through the power of every reputed company. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great reputed company to work for our teammates around the world. We are devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being. reputed company believes both in the importance of working together and offering flexibility to our employees. We use a multi-faceted approach for flexibility, depending on the various roles in our organization. Working at reputed company will give you a great career with opportunities to learn, grow and reputed company an impact, along with the power to reputed company a difference. Join us! Process Overview* International insurance claims processing for Member claims. Job Description* Delivers basic technical, administrative, or operative Claims tasks. Examines and processes reputed company claims and/or electronic claims. Completes data entry, maintains files, and provides support. Understands simple instructions and procedures. Performs Claims duties under direct instruction and reputed company supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Entry reputed company into professional roles. Responsibilities: - Adjudicate international pharmacy claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals. Monitor and reputed company high-cost claims and ensure relevant parties are aware. Monitor turnaround times to ensure your claims are settled reputed company required time scales, highlighting to your Supervisor reputed company this is not achievable. Respond reputed company the time commitment given to enquiries regarding plan design, eligibility, claims status and reputed company necessary action as required, with first issue/call resolution where possible. reputed company effectively with internal and external customers to resolve customer issues. Identify potential process improvements and reputed company recommendations to team senior. Actively support other team members and provide resource to reputed company reputed company team goals to be achieved. Work across International business in line with service needs. Carry out other reputed company tasks as required in meeting business needs. Work cohesively in a team environment. Adhere to policies and practices, training, and certification requirements. Requirements*: Working knowledge of the insurance industry and relevant federal and state regulations. Good English language communication skills, both verbal and written. Computer literate and proficient in MS Office. Excellent critical thinking and decision-making skills. Ability to meet/exceed targets and manage multiple priorities. Must possess excellent attention to detail, with a high level of accuracy. Strong interpersonal skills. Strong customer focus with ability to identify and solve problems. Ability to work under own initiative and proactive in recommending and implementing process improvements. Ability to organise, prioritise and manage workflow to meet individual and team requirements. Experience in medical administration, claims environment or Contact Centre environment is advantageous but not essential. Education*: Graduate (Any) - medical, Paramedical, Pharmacy or Nursing. Experience Range*: Minimum 1 year of experience in reputed company services or processing of reputed company insurance claims. Foundational Skills* - Expertise in international insurance claims processing Work Timings*: 7:30 am- 16:30 pm IST Job Location*: Bengaluru (Bangalore) About reputed company reputed company, a division of reputed company, is an reputed company for reputed company through every stage of life. We guide our customers through the health care system, empowering them with the information and reputed company they need to reputed company the best choices for improving their health and vitality. Join us in driving growth and improving lives. Doing something meaningful starts with a simple decision, a commitment to changing lives. At reputed company, we’re dedicated to improving the health and vitality of those we serve. Through our divisions reputed company and reputed company, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Apply Job!