Taguig, National Capital Region, Philippines
3 days ago
Associate– Medical Team Assistant

Team Lead / Team Manager

Qualification:

Graduate (exclusion:

BE/BTech/MCA)

Responsibility:

Business / Customer:

- New Business process such as Policy creation, Documentation collection & Review, seeking regulatory approvals, Policy despatch, Reinstatements, Endorsements, Renewals, product conversions, underwriter support, Authorisations, Binding, quotes and Policy Issue, multiple levels of coding, Agency , broker and Vendor support such as Respond to queries, commision calculations & Pay out, contract renewals, Agent licensing,.

Policy owner services:

Change endorsements, cancellations, rconciliations, wire trasnfers, ACH handing, respond to queries via calls or email regarding any of the indicative trasactions listed above Claims management Claim registration through calls or emails related to First notice of loss, workers compensation, death claims, medical bill review, medical coding, disability claims, surveyor document review, trasncription, Investigation, Assignments, Fraud management, Legal documents, invoices, Appeals,, Tax compliance. Statutory and Legal reporting requirements.

Project / Process:

:

100% Process adherence to transaction processing timelines involving Moneyin, Moneyout, Enrollment processes to avoid back dated transactions and other measurable metrics. 100% adherence to the legal guidelines as per the business framework. Process predefined number of transactions as assigned. Meets internal process metrics related transaction processing involving MoneyIn, Moneyout, Enrollment, death, liquidation processing etc, (such as productivity, quality, Consistency Index ) as defined for the subprocesses. Adhere to audit compliance ( SAS 70, Statutory Audit) of all relevant processes as laid out in process documentation. Meet process SLAs / metrics – productivity and quality targets within the established timelines. Ensure process guidelines are followed and met as documented. Respond to data requests. Adhere to shift handover processes. Raise process related issues / concerns on time with process and team leads. Record data relating to production statistics, enduser related notes, etc as appropriate. Stay updated with the process knowledge / changes refer to knowledge updates/ repositories to effectively process transactions. Adhere to security practices set by organization. Provide updates and submit reports related to own area of work. Perform rework on policies which were not processed First Time Right. Capture predefined policies/amendments in the client system during a business day. Record the output in the system provided by Cognizant. Highlight process related issues / concerns proactively with TL/TMs. Refer to knowledge updates/ repositories to effectively process transactions.

For Voice Processes:

Answer calls from customers/end users based on agreed time frames. Transfer calls involving next level of service to the appropriate department as per the given guidelines. First time resolution of issues/queries.

People / Team:

:

Contribute to and participate in knowledge sharing sessions. Complete all mandatory certifications as per the requirement of the business. Align individual goals with team objectives (work cohesively with the team). Participate and contribute to organizational activities. Record own attendance and time sheet related data to ensure correct billing. Conduct refresher training. Collate team performance data for reporting purposes as and when requested by the Process and Team Lead. Completes all mandatory assessment/ certifications as applicable like Antimoney laundering training (AML).

Must Have Skills

Speaking EnglishMS ExcelMS Office

The Cognizant community:
We are a high caliber team who appreciate and support one another. Our people uphold an energetic, collaborative and inclusive workplace where everyone can thrive.

Cognizant is a global community with more than 345,000 associates around the world. We don’t just dream of a better way – we make it happen. We take care of our people, clients, company, communities and climate by doing what’s right. We foster an innovative environment where you can build the career path that’s right for you.

About us:
Cognizant (Nasdaq-100: CTSH) is one of the world's leading professional services companies, helping organizations modernize technology, reimagine processes and transform experiences so they stay ahead in a fast-changing world.

Our commitment to diversity and inclusion:
Cognizant is an equal opportunity employer that embraces diversity, champions equity and values inclusion. We are dedicated to nurturing a community where everyone feels heard, accepted and welcome. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other protected characteristic as outlined by federal, state or local laws.

Disclaimer: 
Compensation information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.

Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview.

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