Location : Jaipur
Qualification : Any Graduate
Experience : Freshers
Job Description :
Genpact is a global firm specializing in professional services and innovative solutions, committed to driving transformative outcomes. With a team of over 125,000 professionals across 30+ countries, we focus on curiosity, agility, and creating lasting value for businesses. Our mission is to enhance enterprise operations through deep industry expertise, digital services, and advanced technologies, including AI and data-driven solutions. We collaborate with leading global companies to optimize performance and drive meaningful change.
Apply Here: https://genpact.taleo.net/careersection/sgy_external_career_section/jobdetail.ftl?job=1498675&src=DS-10971
Responsibilities:
- Validate information entered by indexers.
- Accurately select and verify pre-authorizations.
- Identify and take action on duplicate claims.
- Review and process alerts related to members and providers.
- Refer cases to the calling team for additional information.
- Handle policy and non-policy messages.
- Analyze and investigate policy messages using tools like Support Point and Info Site.
- Escalate cases to relevant departments (HCS, TMT, Triage) as needed.
- Identify cost-saving opportunities by detecting overcharges, ineligible claims, contract compliance issues, and potential fraud.
Preferred Skills :
- Basic knowledge of healthcare and medical terminologies.
- Strong attention to detail and investigative skills.
- Good interpretation and comprehension abilities.
- Prior experience in a similar role is a plus.
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