Asia Health is seeking candidates for the following position based in the Noida office
Process Developer / Process Champion
What can you expect?
We are looking to hire a Process Developer / Process Champion in the Healthcare Claims Adjudication and email enquiries Team
The role will be responsible for validating the claims adjudication of medical claims for the employees of our clients based in Singapore. The role also demands to resolve email enquiries of the employees related to settlement disputes, claims status, estimation of benefits coverage, product coverage etc.
What is in it for you?
Medical insurance, personal accident insurance, group term life insurance from the day you join us 10 holidays along with 17 earned leaves, 15 sick leaves and 10 casual leaves in a calendar year
We will count on you to:
Validate various insurers decision on settlement of health claims – verification of bills under various health product
Email enquiries handling for health insurance products – policies like GOC, GOS, GHS, GBT etc
Updating all documentation and training of team members
Drive the culture of First Time Right
Preparation of Month end/Weekly/Daily Reports
Support self-development (cross trainings, process training, soft skill trainings etc)
Support all projects and quality initiatives – Process improvement ideas
What you need to have:
Graduation / Post-graduation in any stream
2.5+ years of experience purely in healthcare claims management – verification of bills under various health products
Exceptional written & verbal communication skills
Experience in Email query handling for health insurance products – policies like GOC, GOS, GHS, GBT etc
Experience in SOPs updation
Should be good at basic calculations – calculating prorated benefits, calculating final benefits
What makes you stand out?
Well-developed Healthcare Claims Management skills and the demonstrated ability to work in a globally matrixed and significantly multi-geography, multi-cultural offshore service delivery environment
Excellent Communication Skills both written & verbal
Executive presence that conveys composure and confidence in all situations
Strong analytical, research and problem solving skills, attention to details
About Mercer
At Mercer, we are a global force of around 25000+ unique individuals working together to make a difference in the lives of more than 115 million people every day by advancing their health, wealth
and careers.
We’re in the business of creating more secure and rewarding futures for our clients and their employees — For more than 80 years, we’ve turned our insights into actions; Be it designing affordable health plans, or assuring income for retirement, or aligning workers with workforce needs, we’ve been united in our mission of enabling people around the globe to live, work, and retire well.