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Associate-Back Office-Customer Service

Associate-Back Office-Customer Service

ConfidentialCochin / Kochi / Ernakulam, India
1 day ago
Job description
  • Handle complex healthcare cases such as claims rework, provider appeals, and documentation analysis with minimal supervision.
  • Retrieve supporting documents from various systems, create appropriate case files, and ensure accurate attachment and classification.
  • Analyze each case to determine resolution or escalation to Subject Matter Experts (SMEs).
  • Implement SME guidance to complete case processing effectively and accurately.
  • Generate customer communication letters and ensure timely dispatch as per process requirements.
  • Conduct root cause analysis for rework and escalations; recommend corrective and preventive actions.
  • Skills Required

    Case Processing, Root Cause Analysis

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    Service • Cochin / Kochi / Ernakulam, India

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