BPO HC & Insurance Operations Associate

January 23, 2023

Job Overview

  • Date Posted
    January 23, 2023
  • Location
  • Expiration date
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Job Description

In this role you will be responsible for:   Life Claims: – Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit – Setting up a claim and then following up for pending requirements (if any) – Examining the received documents, payment calculation and settlement – Perform additional review before cutting the check   Health Claims: – Supporting different set of Health Claims products which includes Wellness, Critical Illness, Accident, Cancer, HI etc. – Check the eligibility of the members product wise who will undergo different set of medical examination proceeding with additional care/treatment – To perform adjudication which will cover the additional review of the medical history proceeding with medical benefits Requirements for this role include: – 0 -1 Year of experience in any Healthcare BPO – University degree or equivalent that required 3+ years of formal studies – 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. – Ability to work scheduled shifts from Monday-Friday 06:00 PM to 04:00 AM and to be flexible to accommodate business requirements  – Ability to communicate (oral/written) effectively in English to exchange information with our client.