PA-Claims
Genpact
2 - 5 years
Jaipur
Posted: 3/5/2025
Job Description
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
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
About Company
Genpact is a global professional services firm that offers a wide range of digital transformation services and solutions. With a presence in over 30 countries, Genpact leverages its deep domain expertise in operations and analytics to help businesses transform their operations, improve efficiency, and enhance customer experience. The company combines digital technology, data science, and operational excellence to deliver business outcomes across various industries, including banking, insurance, manufacturing, and healthcare. Founded in 1997 as a subsidiary of GE, Genpact has grown into an independent, NYSE-listed company with a diverse workforce of over 90,000 employees globally.
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