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Legato Health Technologies jobs - Claims Associate

Claims Associate

Legato Health Technologies

location

experience

0 to 3 Years

salary

Salary not disclosed

qualification

Diploma, B.Com, M.Com, BBA/BBM, BCA, BE/B.Tech, MBA/PGDM, BSc, MCA, ME/M.Tech, MS, MSc, PG Diploma, 12th Pass (HSE)

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Posted: 3 Years ago

Views: 0

Applications: 1

Openings: 1

Job Description

Responsibilities

Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures.
Works without significant guidance w/ basic understanding of multiple products (HMO, PPO, COB, etc. ).
Must be able to successfully perform all the duties.
Primary duties may include, but are not limited to: Able to handle more complex claims.
Reviews, analyses and processes claims/policies related to events to determine extent of company liability and entitlement.
Researches and analyses claims issues.
Responds to inquiries, may involve customer/client contact.

Requirements

Requires a HS diploma or equivalent; 0-3.5 years of claims processing experience; previous experience using PC, database system, and related software (word processing, spreadsheets, etc. ); or any combination of education and experience, which would provide an equivalent background.
Excellent knowledge of the various operations of the organization, products, and services.
Good understanding of the application of benefit contracts, pricing, processing, policies, procedures, govt regs, coordination of benefits, & healthcare terminology.
Good working knowledge of claims and products, including the grievance and/or re-consideration process.

Job Particulars

Role HR

EducationDiploma, B.Com, M.Com, BBA/BBM, BCA, BE/B.Tech, MBA/PGDM, BSc, MCA, ME/M.Tech, MS, MSc, PG Diploma, 12th Pass (HSE)

Who can applyFreshers and Experienced (0 to 3 Years )

Hiring Process Face to Face Interview

Employment TypeFull Time

Job Id496171

Job Category Diploma

StateKarnataka

Country India

About Company

Legato Health Technologies

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