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Claims Associate Jobs in Bangalore - Legato Health Technologies

Claims Associate

Legato Health Technologies
Expired

Posted: 02 Mar 21

Job Description

Responsibilities
  • Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures.
  • Works without significant guidance w/ basic understanding of multiple products (HMO, PPO, COB, etc. ).
  • Must be able to successfully perform all the duties.
  • Primary duties may include, but are not limited to: Able to handle more complex claims.
  • Reviews, analyses and processes claims/policies related to events to determine extent of company liability and entitlement.
  • Researches and analyses claims issues.
  • Responds to inquiries, may involve customer/client contact.

Requirements
  • Requires a HS diploma or equivalent; 0-3.5 years of claims processing experience; previous experience using PC, database system, and related software (word processing, spreadsheets, etc. ); or any combination of education and experience, which would provide an equivalent background.
  • Excellent knowledge of the various operations of the organization, products, and services.
  • Good understanding of the application of benefit contracts, pricing, processing, policies, procedures, govt regs, coordination of benefits, & healthcare terminology.
  • Good working knowledge of claims and products, including the grievance and/or re-consideration process.

Job Particulars

Role hr admin
Who can apply Freshers and Experienced (0 to 3 Years )
Hiring Process Face to Face Interview
Employment Type0
Job Id1134043
Locality Address
Country India

About Company

Legato Health Technologies
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