Immediate Hiring For Lead- QA - Life & Benefits Insurance | Kochi

Role & responsibilities

Clinical Support & Processing Specialist [Back-office]

• Strong understanding of Benefits industry products, coverages and processes
• Ability to effectively manage workloads - Exercising the ability to operate across systems simultaneously, and appropriately review some complex claims
• Possess knowledge and understanding of claims review, deficiency management and operations of Benefits Systems.
• Prompt Decision Making - Ability to assess claims scenario and undertake a timely, accurate claims review and missing data follow up
• Collaboration and Understanding Effectively collaborate and build relationship with providers, employers, internal and external partners etc.
• Problem-Solving: Applies critical thinking to update claims cases across various platforms.
• Attention to Detail: Ensures accuracy in claims by verifying incoming supporting documents and data meticulously, processing incoming invoices accurately to avoid underpayment, duplicate or overpayment.
• Organizational Skills: Manages workload efficiently, meeting deadlines especially during high claims volume spikes.
• Team Collaboration: Fosters teamwork and performs diverse tasks related to claims administration and services effectively.
• Adaptability and Learning: Learns new skills and procedures, applying expanded knowledge to complex situations and special projects.