CSA

Description - External

Job Summary :A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications. The claims examiner should also route the claim to different department or provider / member for any missing information that required for claims adjudication. The claims needs to be completed adhering to required TAT and quality SLA.

Key Responsibility:

1. Production, Quality

2.  Shift and Schedule adherence

3.  Process Knowledge

Key Skills :

• Good Communication Skills
• Listening & Comprehension

Qualifications - External

Minimum Eligibility:  

Graduation (Any discipline - 3 years) without arrears.