Arbitration Specialist at EXL Talent Acquisition Team

, , India -

Full Time

Start Date

Immediate

Expiry Date

27 Mar, 26

Salary

0.0

Posted On

27 Dec, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Computer Skills, Excel, Multitasking, Prioritization, Effective Communication, Data Interpretation, Coding, Auditing

Industry

Business Consulting and Services

Description

Job Description – Associate Um CMA Position Title, Responsibility Level Level 1 Function Associate Reports to Assistant Manager Permanent/ Temporary Permanent Span of Control Nil Location Noida Basic Function Supplier will receive the work via the proprietary application and input the pharmacy benefits onto the proprietary system. The supplier may be doing the coding or auditing work depending on the assignment. Essential Functions Responsible for the review, evaluation, and input of pharmacy benefits. Reviews documentation and interprets data obtained from the client benefit database. Coordinates with team POC / Supervisors whenever a benefit needs clarification. Primary Internal Interactions Processes transactions as per guidelines provided Attend team meetings to be aware of workflow updates. Participates in the client mandated trainings to maintain knowledge and performance. Coaching and team meetings with supervisors and managers. Primary External Interactions Coordinates with the appropriate onshore department regarding access or issues to the proprietary software. Summarization of complex information into a clear and precise clinical picture while working independently Corrects and reports cases with errors and/or defects. Sends the cases stateside via an automated process. Review incorrect benefit coding instructions and report any that is out of date. Skills Technical Skills Position requires proficiency with computer skills Navigating multiple systems and keyboarding Basic Excel Process Specific Skills Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended hours, and typing on the computer. Ability to multitask, prioritize and effectively adapt to a fast paced changing environment Typical office working environment with productivity and quality expectations Soft skills (Desired) Effective communication skills, both verbal and written. Education Requirements: Graduate of any stream(BA, B.COM). Work Experience Requirements 0-1 year minimum BPO experience Preferably, with back office experience Resource needs be English medium educated (schooling) Annexure: Acknowledgement (acknowledge that the information contained in this document is factual and complete) ___________________________________ ___________________________________________ ____________________________ Candidate Supervisor/Manager Date

Responsibilities

The Arbitration Specialist is responsible for reviewing, evaluating, and inputting pharmacy benefits into a proprietary system. They will also coordinate with team members for clarifications and correct any errors in benefit coding.