Job description
Process specialist Candidate Specification: Minimum 4 years of experience working into benefit configuration Job Description: Assist in determining process improvement efforts. Maintain prior authorizations and step therapy rules. Collaborate with member support and customer success teams to review and resolve inquiries related to benefits timely to improve member experience. Provide troubleshooting support for claims adjudication process. Review analysis and mapping of existing configuration to Facets.
Skills Required
SME- Benefit configuration
ITES/BPO/KPO
ITES/BPO/Customer Service
Full Time, Permanent
Human Resources
Key Skills
- BENEFIT CONFIGURATION
- CLAIMS ADJUDICATION
- CLAIMS PROCESSING
- FACETS
- JIRA
Other Information
GO/JC/19792/2024
Sriram