Clients Business problem to solve

Our Client is one of Leading Health Plan in US providing services in Florida state , NTT are getting into contract with Client to manage End to End Claims Administration services. Our NTT Business Process Outsourcing (BPO) team has implemented the processes and technologies for our clients bring about real transformation for customers of all sizes. Our end-to-end administrative services help streamline operations, improve productivity and strengthen cash flow to help our customers stay competitive and improve member satisfaction.

Positions General Duties and Tasks:

NTT are getting into contract with Client to manage End to End Health Claims Administration services. Our NTT Business Process Outsourcing (BPO) team has implemented the processes and technologies for our clients bring about real transformation for customers of all sizes. Our end-to-end administrative services help streamline operations, improve productivity and strengthen cash flow to help our customers stay competitive and improve member satisfaction.

Requirements for this role include:

5-7 years of must have strong Health Claims End to End Domain Knowledge.
Both Under Graduates and Post Graduates can apply.
Excellent communication (verbal and written) and customer service skills.
Ability to work independently; strong analytic skills.
Detail-oriented; ability to organize and multi-task.
Ability to make decisions.
Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications.
Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills.
Ability to work in a team environment.

Problem Solving:

Reviews structured problems.
Selects and applies appropriate standards/guidelines.
Probes beyond the stated situation.
Identifies underlying issues and consider possible alternatives.

Job Duty Differentiators:

Supervises processes and/or claims processing teams ensuring highest quality of service is provided.
Includes the distribution of work, calculation and communication of productivity and quality results and review of audit appeals.
Monitors production goals of team and reports results and issues to higher-level leadership.
Assists team with escalated claims processing issues.

Required schedule availability for this position is Monday-Friday from 6:00 pm to 4:00 am IST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend's basis business requirement.

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