Sr. Insurance Associate

·       Scrutinizing dental claim documents & settlements

·       Process claims as per the set healthcare guidelines

·       Follow HIPAA guidelines

·       Accurate processing of Dental claims and meeting productivity targets

·       Good understanding of Claims adjudication fundamentals 

·       Good understanding of ICT & CPT Codes 

·       Knowledge of policy concepts like Deductible, coinsurance, copay, out of pocket

·       Able to learn, adapt, implement process guideline into practice, work as a natural team-player in the  process

·       Handle escalations

·       Need to ensure quality and productivity targets are met

Ensure compliance with internal policies and procedures, external regulations and information security standards