Executive
EXL · Pune, Maharashtra · Full-time
associate is responsible for timely and accurate medical payment .The process includes, checking compensability, invoice review and the validation of the details in other systems and determine/decide on the accuracy of the amount billed and/or the need for denial of the claim based on result of research. Associate would also need to liaise with claims handlers on need basis.
Essential Functions
• Ensure that the process transactions are processed as per Desktop procedures
• Ensure that the assigned targets are met in accordance with SLA and Internal standards
• Ensure that the quality of transaction is in compliance with predefined parameters as defined by Process Excellence
• Ensure adherence to established attendance schedules
• Managing calendars and e-mails
Performance parameters
• Productivity
• Quality / Accuracy
• Attendance
• Schedule Adherence
Graduation (any stream) or diploma with a minimum of 15 years of education.