Objective and responsibility
Position summary
The fulfilment by an insurer of its obligation to receive, investigate and act on a claim filed by an
insured. It involves multiple administrative and customer service layers that includes review,
investigation, adjustment (if necessary), remittance or denial of the claim.
Roles and responsibilityles and Responsibilities
Understand the basic professional standards and established procedures, policies before
taking action and making decisions
Processing claims and handling calls, as per the process guidelines.
Adhering to the service level and understanding Quality & Auditing parameters
Assume responsibility for work and coordinating efforts
Meeting assigned productivity goals
Adhere to attendance and punctuality norms
Acquiring knowledge & skills of related areas of the process
Interpersonal relationship at work with peers, supervisors and should not have any recorded
instance of misconduct
Education and experience
Graduates
Fresher/0 – 12 Months
Desired skills and abilities
Knowledge on US health care
Good Oral and Written Communication Skill in English
Awareness of Telephonic Etiquettes & MS Office suite
Good Typing Skills & Basic computer Navigation Skills