Process Executive

EXL SERVICES

Pune

Not disclosed

Work from Office

Full Time

Any experience

Job Details

Job Description

Executives

Job Description – Process Executive

 

Position Title 

Executive, WC Payments

Function, Responsibility Level 

Operations, Executive

Reports to

Assistant Manager

Span of Control 

Nil

Location 

Pune

Permanent/ Temporary

Permanent

 

 

associate is responsible for timely and accurate payment of invoices submitted by the injured workers and vendors. The process includes  checking compensability, invoice review and the validation of the details in other systems and determine/decide on the accuracy of the amount billed and/or the need for denial of the claim based on result of research. Associate would also need to liaise with claims handlers on need basis.

 

 

 

Essential Functions

 

·       Ensure that the process transactions are processed as per Desktop procedures 

·       Ensure that the assigned targets are met in accordance with SLA and Internal standards

·       Ensure that the quality of transaction is in compliance with predefined parameters as defined by Process Excellence

·       Ensure adherence to established attendance schedules

·       Managing calendars and e-mails

 

Performance parameters

·       Productivity

·       Quality / Accuracy

·       Attendance 

·       Schedule Adherence

 

Any other essential function that may occur from time to time as directed by the Supervisor

 

Primary Internal Interactions

 

·       AM for the purpose of reporting performance, escalation handling, clarifying concerns, and seeking feedback and support.

·       Manager for the purpose of settling issues left unresolved by the AM and monthly evaluation of performance

·       CCEs (Team Members) for the purpose of seeking cooperation & clarification on process-related matters & providing assistance and support when required

·       Subject Matter Expert for the purpose of work thread related issues and escalated transactions 

·       QCA for the purpose of feedback and audit

·       Trainers for the purpose of Pre-process and Process training

 

Primary External Interactions

 

·       Escalation teams at the client end for the purpose of seeking clarifications & answering queries 

·       SME / Trainers at the client end for training

 

 

Organizational Relationships

 

Reports To: Assistant Manager                                           Supervises : Nil

 

Skills

Technical Skills

 

·       Good Computer navigation skills

·       Good keyboarding speed

·       MS Office proficiency

 

 

Process Specific Skills

 

·       Knowledge about the US Workers’ Comp. Insurance industry 

·       Knowledge about US Culture

 

 

Soft skills (Minimum)

 

·       Good written skills

·       Customer Service Focus

·       Team work/ Managing Self / Adaptability

·       Data gathering ability/ Eye for detail

 

Soft Skills (Desired)

 

·       Self disciplined and result oriented

·       Ability to multi task

 

Education Requirements

 

Graduation (any stream) or diploma with a minimum of 15 years of education.

 

 

Work Experience Requirements

 

0 to 6 year of professional experience in data entry with Insurance industry. Familiarity with workers’ compensation insurance or health insurance industry required. Experience in handling insurance claims will be added advantage along with knowledge of US Healthcare system.

 

 

Enclosures: 

 

 

 

 

 


Job role

Work location

Pune

Department

Finance & Accounting

Role / Category

MIS Operations

Employment type

Full Time

Shift

Day Shift

Job requirements

Experience

Any experience

About company

Name

EXL SERVICES

Job posted by EXL SERVICES

This job has expired