Skill required: Claims Services - Claims Administration
Designation: Health Admin Services Associate Manager
Qualifications:Any Graduation
Years of Experience:10 to 14 years
About Accenture
Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Our 784,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com
What would you do Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrow Claims Services involves managing and processing insurance claims from start to finish. This includes verifying claim details, assessing damages, and determining coverage. The goal is to ensure timely and accurate claim resolution. Responsibilities include communicating with claimants, coordinating with other departments, and maintaining detailed records. This role is essential for providing support and satisfaction to policyholders. Includes the administration of health, life, and property & causality claims. Includes activities involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.
What are we looking for
- Claims Processing
- Payer Claims Processing
- Commitment to quality
- Ability to establish strong client relationship
- Hands-on experience with trouble-shooting
- Ability to handle disputes Roles and Responsibilities:
- In this role you are required to do analysis and solving of moderately complex problems
- Typically creates new solutions, leveraging and, where needed, adapting existing methods and procedures
- The person requires understanding of the strategic direction set by senior management as it relates to team goals
- Primary upward interaction is with direct supervisor or team leads
- Generally interacts with peers and/or management levels at a client and/or within Accenture
- The person should require minimal guidance when determining methods and procedures on new assignments
- Decisions often impact the team in which they reside and occasionally impact other teams
- Individual would manage medium-small sized teams and/or work efforts (if in an individual contributor role) at a client or within Accenture
- Please note that this role may require you to work in rotational shifts
