Job Title – Trainee – Process Analyst
Company Name – Thryve Digital
Qualification – Graduation
Location – Pune, India
Salary – 3 to 5LPA
Qualifications & Skills Required:-
Bachelor’s Degree/Diploma in any stream
Freshers – Exposure to claims processing preferred
Typing speed of at least 50 words per minute
Basic computer knowledge (MS Office- excel, word, power point)
Knowledge, Skills and Abilities (This section describes additional preferred characteristics)
Ability to take direction and to navigate through multiple systems simultaneously.
Knowledge of administrative and clerical procedures and systems such as word processing and
managing files and records.
Ability to use mathematics to adjudicate claims.
Ability to solve problems within pre-defined methods and guidelines.
Knowledge of operating systems specific to claim processing.
Job Description & Responsibilities:-
This section lists the major duties and responsibilities of the position. This is not an exhaustive list of all job duties/functions/attributes. Depending on Role, essential responsibilities may also include oversight and management of people and functions described below.
Determine if claim information is complete and correct. Enter/verify claims data.
Resolve claim edits (suspensions), review history records and determine benefit eligibility for service.
Review payment levels to arrive at final payment determination.
Meets all production and quality standards.
Elevates issues to next level of supervision, as appropriate.
Maintains accurate records, including timekeeping records.
Other duties as assigned or requested.