Job Description_ Contingency _Data Mining
Job Name
Executive - Datamining
Position Title
Executive
Band
A1
Reporting To
Assistant Manager
Location/Site:
EXL India
Overview
Candidates should have minimum 1+ years of experience and should have basic knowledge in claims adjudication process and its processing methods.
Qualifications
- Graduation is Mandatory
- Claims adjudication experience is Mandatory
- Prefer candidates with experience in Post adjudication/overpayment projects (Not mandatory)
Experience
- Claims Adjudication experience: Minimum 1 year
- Overpayment experience (Optional)
Communication
- Strong written (documentation) and oral communication skills
Working Hours
- 40 hours per week as Full-time employee
- Shift time: 08:00 AM TO 05:00 PM IST (It might be changed based on project requirements)
- Weekends: Off
Telecommuter/Internet Requirements, If Applicable
- High Speed internet connection at home, must be broadband
- Must understand and adhere with telecommuter policy
Skills And Abilities
- 1+ years of experience in claims processing or claims adjudication.
- Should have knowledge in US healthcare.
- Preferably candidates have knowledge in payment determination. Which means candidates should calculate the allowable without system support (Not mandatory).
- Prefer candidates with experience in overpayment projects.
- Should have a good communication with neutral accent preferred.
- Ensure assigned inventory should be completed with quality within TAT.
- Production, quality and other reports should update on timely manner as required.
- Must ensure availability for meeting/calls as required.
- Ability to work independently and as a team.
- Ensure candidates should follow compliance protocols without fail.
