Sr. Contact Center Healthcare Claims Associate
2 months ago
URGENT NEED Hiring now - Fully Remote Sr. Contact Center Healthcare Claims Associate
We are currently hiring seasoned, experienced CLAIMS PROCESSING ASSOCIATES. These positions are fully remote.
Candidates applying for these positions must have the following related experience:
U3+ years of experience on Federal Employee Benefit Calls and Claims
Excellent communication skills - spoken/written/comprehension
Advanced knowledge of MS Office
Ability to handle incomming calls from Providers
Handling complaints and dispute resolution
Take ownership and follow up to resolve, Ensure first call resolution
Typing skills @ 25 WPM with minimum 90% accuracy
Preferred prior experience of taking calls from Providers related to Federal Employee Program claims and appeals
Experience of researching/adjusting Federal Employee Benefit claims in Facets and FEP Direct
Strongly preferred experience using Facets
Preferred experience with Salesforce
Preferred experience with Macess
Key Responsibilites
Answering incoming calls from FEP Providers during overflow from call center
Researching claims and responding to inquiries
Processing all Federal Employees Program (FEP) claims as per policy and procedure outlined if needed based on Inquiry
Reviewing and providing information on claims status, Benefits, Coverage etc
Collaborating with team for raising and resolving Member/Provider Appeals within the timeframes outlined by the FEP guidelines
Collaborating with team for raising and resolving Member appeals/Provider Appeals within the timeframes outlined by the FEP guidelines
Company DescriptionHCL Technologies is a next-generation global technology company that helps enterprises reimagine their businesses for the digital age.
Our technology products and services are built on four decades of innovation, with a world-renowned management philosophy, a strong culture of invention and risk-taking, and a relentless focus on customer relationships.
HCL also takes pride in its many diversity, social responsibility, sustainability, and education initiatives.Through its worldwide network of R&D facilities and co-innovation labs, global delivery capabilities, and over 150,000+ 'Ideapreneurs' across 49 countries, HCL delivers holistic services across industry verticals to leading enterprises, including 250 of the Fortune 500 and 650 of the Global 2000.
Enterprises across industries stand at an inflection point today. In order to thrive in the digital age, technologies such as analytics, cloud, IoT, and automation occupy center stage.In order to offer enterprises the maximum benefit of these technologies to further their business objectives, HCL offers an integrated portfolio of products and services through three business units.
These are IT and Business Services (ITBS), Engineering and R&D Services (ERS), and Products and Platforms (P&P).ITBS enables global enterprises to transform their businesses via Digital Foundation, our modernized infrastructure stack built around hybrid cloud, software-defined networks, the digital workplace, and other elements; Digital Business, a combination of our application services and consulting capabilities; and Digital Operations, a three-pronged setup for modernized and efficient operations at enterprise level.
ERS offers engineering services and solutions in all aspects of product development and platform engineering.Under P&P, HCL provides modernized software products to global clients for their technological and industry-specific requirements.
Our holistic Mode 1-2-3 strategy forms the backbone of these three business units to help enterprises navigate the digital age with ease.
It is the core aspect of our 'Digital Enterprise 4.0' focus – aimed at offering holistic services to our clients to meet the technology needs of their present while readying them to be future-ready.
The company's DNA of grassroots innovation, its ingrained culture of co-innovation, and its tradition of going far beyond what is expected, to create customer value, clearly differentiates it and gives it a distinct advantage in creating value for businesses in the digital and connected world.
Company DescriptionHCL Technologies is a next-generation global technology company that helps enterprises reimagine their businesses for the digital age.Our technology products and services are built on four decades of innovation, with a world-renowned management philosophy, a strong culture of invention and risk-taking, and a relentless focus on customer relationships.
HCL also takes pride in its many diversity, social responsibility, sustainability, and education initiatives.Through its worldwide network of R&D facilities and co-innovation labs, global delivery capabilities, and over 150,000+ 'Ideapreneurs' across 49 countries, HCL delivers holistic services across industry verticals to leading enterprises, including 250 of the Fortune 500 and 650 of the Global 2000.
\r\r
Enterprises across industries stand at an inflection point today. In order to thrive in the digital age, technologies such as analytics, cloud, IoT, and automation occupy center stage.
In order to offer enterprises the maximum benefit of these technologies to further their business objectives, HCL offers an integrated portfolio of products and services through three business units.
These are IT and Business Services (ITBS), Engineering and R&D Services (ERS), and Products and Platforms (P&P).\r\r
ITBS enables global enterprises to transform their businesses via Digital Foundation, our modernized infrastructure stack built around hybrid cloud, software-defined networks, the digital workplace, and other elements; Digital Business, a combination of our application services and consulting capabilities; and Digital Operations, a three-pronged setup for modernized and efficient operations at enterprise level.
\r\r
ERS offers engineering services and solutions in all aspects of product development and platform engineering.\r
\r
Under P&P, HCL provides modernized software products to global clients for their technological and industry-specific requirements.\r
\r
Our holistic Mode 1-2-3 strategy forms the backbone of these three business units to help enterprises navigate the digital age with ease.
It is the core aspect of our 'Digital Enterprise 4.0' focus – aimed at offering holistic services to our clients to meet the technology needs of their present while readying them to be future-ready.
\r\r
The company's DNA of grassroots innovation, its ingrained culture of co-innovation, and its tradition of going far beyond what is expected, to create customer value, clearly differentiates it and gives it a distinct advantage in creating value for businesses in the digital and connected world.
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