Claims Executive

Hexaware Technologies

Thane, Navi Mumbai, Mumbai (All Areas)Fresher59m agovia Naukri

Walk-in drive · Fri 23 Oct · 5.30 PM - 7.00 PM

1st Floor, Q1, Loma IT Park, Ghansoli, Thane – Belapur Road, Navi Mumbai - 400710 (India) Map

About the Role

  • Processing claims in the US Healthcare domain.
  • Utilizing various tools to complete transactions.
  • Ensuring timely processing of claims.
  • Efficient and accurate handling of jobs to meet service level agreements.

Key Responsibilities

  • Understand and follow established processes and guidelines for claim initiation and adjudication in the US Healthcare domain.
  • Utilize various tools and systems to process claims, including data entry, verification, and validation of information.
  • Ensure accurate and timely processing of claims, adhering to service level agreements and quality standards.
  • Maintain detailed documentation and records for each claim processed.
  • Collaborate with cross-functional teams, such as providers, payers, and other stakeholders, to resolve queries or issues related to claims.
  • Continuously update knowledge and skills to stay abreast of changes in policies, regulations, and best practices in the US Healthcare domain.
  • Participate in training and development programs to enhance job-related skills and knowledge.

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