The Job logo

What

Where

Sign in

Process Associate - Claims

ApplyJoin for More Updates

You must Sign In before continuing to the company website to apply.

Smart SummaryPowered by Roshi
We are hiring for the role of Process Associate - Claims. In this role, your responsibilities will include data entry of personal details, provider details, invoice information, procedure codes, and impairment codes. You will also be responsible for validation of information, checking and selecting accurate pre-authorization, identifying duplicate claims, and taking appropriate action. Additionally, you will be reading and taking action on alerts related to members and providers, referring cases to the calling team for further information, and looking after policy and non-policy messages. Your role will also involve interpreting, analyzing, and investigating policy messages, and referring cases to various departments as required. You will also be responsible for identifying front end savings by investigating claims for any over charge, ineligible chargers, contract compliance, and provider or member fraud.

We are inviting applications for the role of Process Associate - Claims
In this role, you will be responsible for Data Entry of Information related to personal details, provider details, invoice information, procedure & impairment codes
Responsibilities
•    Validation of information entered by indexer
•    Check & Select accurate Pre-authorization
•    Identify duplicate Claims and take appropriate action
•    Reading & taking appropriate action on Alerts related to Members & providers.
•    Referring case to calling team for further information
•    Looking after Policy & Non-Policy messages
•    Interpreting, analyzing & further investigating the Policy messages on various tools like support point, info site etc.
•    Referring cases to various department like HCS, TMT, Triage after adjudication as and when required
•    Identify Front End Savings by investigating claims to Identify any over charge, ineligible chargers, contract compliance, Provider or Member Fraud


Qualifications we seek in you
Minimum qualifications
•    Any Graduate except technical
•    Freshers are eligible
Preferred qualifications 
•    Good knowledge of healthcare & medical terminologies
•    Eye for detail & investigative skills
•    Good interpretation & comprehension skills
•    Proven experience
 

Set alert for similar jobsProcess Associate - Claims role in Jaipur, India
Genpact Logo

Company

Genpact

Job Posted

9 months ago

Job Type

Full-time

WorkMode

On-site

Experience Level

0-2 Years

Category

Operations

Locations

Jaipur, Rajasthan, India

Qualification

Bachelor

Applicants

Be an early applicant

Related Jobs

Genpact Logo

Process Associate

Genpact

Jaipur, Rajasthan, India

Posted: 9 months ago

We are looking for professionals with experience in OTC and SAP ERP, specifically in collections management. The role involves handling premium applications, reinstatements, and renewal of payments received from policy holders. You will be responsible for researching and analyzing disputes and deductions in the ERP, as well as following up with various departments to gather supporting documents and information. Additionally, you will be expected to identify process and automation improvements, track and monitor past dues, and deliver quality customer service. The ideal candidate will have good interpersonal skills, preferably with prior cash application experience and a strong knowledge of MS Excel.

Genpact Logo

Process Associate

Genpact

Jaipur, Rajasthan, India

Posted: a year ago

Responsibilities In this role, you will be responsible for all the activities related to the General Accounting domain. •    Journal Entries Creation and Booking •    Month End Close Activities •    Manage the aligned process (as applicable) - General Accounting, Fixed assets, Intercompany, Reporting, Balance account reconciliations. •    Intercompany Accounting •    Bank and Investment Reconciliations •    General Ledger Reconciliations •    Fixed Assets Reconciliations (FA Clearing & SL-GL) •    Identifying balancing items and their clearance •    Escheat Reconciliations •    Corporate Reporting •    Internal and External Audit •    SOX Compliance Qualifications we seek in you! Minimum qualifications •    Freshers are eligible •    B.Com (H)/B.Com (P) (Only Regular graduation, no Distant Learning) •    CA firm experience not considered Preferred qualifications •    Relevant experience in reputed Captive/Outsourcing RTR Ops •    Good written and verbal communication skills •    MS Excel Knowledge, Pivot, VLOOKUP, Macros •    IT skills: ERP (PeopleSoft/SAP/Oracle/Workday Financial), MS Office •    Partner Management – Should have experience in managing, process owners and various •    Quality Lean/Process Improvement knowledge

Genpact Logo

Process Associate - Accounts Payable

Genpact

Jaipur, Rajasthan, India

Posted: 9 months ago

We are hiring for the role of PA, Accounts Payable. You will be responsible for processing vendor invoices accurately, resolving queries, and ensuring timely payment. Additional responsibilities include AP ledgers reporting, AP aging, and vendor statement reconciliations. We are looking for candidates with a proactive attitude, ability to prioritize effectively, and a focus on continuous process improvement. Good interpersonal and communication skills are essential. Graduation in Commerce and proficiency in MS Office are preferred.

Genpact Logo

Process Associate - Accounts Payable

Genpact

Jaipur, Rajasthan, India

Posted: 9 months ago

We are inviting applications for the role of Process Associate, Accounts Payable. We are looking for someone who can coordinate the Accounts Payable function, assist associates in identifying and implementing AP improvements, and maintain 100% accuracy in invoice processing and monthly reports. If you have relevant experience in the accounts payable process and possess the required qualifications, we encourage you to apply.

Genpact Logo

Process Associate - Accounts Payable

Genpact

Jaipur, Rajasthan, India

Posted: 10 months ago

We are looking for professionals with deep understanding of Accounts Payable/Invoice Processing /Accounting/ERP to process Vendor Invoices accurately and respond to queries to ensure timely payment of these Invoices.

Genpact Logo

Process Developer - Retail Banking

Genpact

Jaipur, Rajasthan, India

Posted: 9 months ago

Join us as a Process Developer in Retail Banking (Mortgage) and be responsible for executing tasks, processing transactions, and sharing knowledge. You should be detail-oriented, focused on customer needs, adaptable to change, and resilient under pressure.