.. and Project Meetings as required. Assist in man-hour estimation for a project. Ensure timely deliverables as per schedule Ensure quality of deliverables and Right First Time. Ensure that Change request are raised time to time, as per variations in scope Ensure Good Engineering Practices are followed .. read more
POSITION SUMMARY
Case Analyst in Lien Operation assumes a pivotal role, working closely with the US team lead for selected lien type to
perform negotiation, arbitration, and settlement of lien amount with external entities. Daily activities will include
reviewing aging liens and performing tasks like raising compromise request, performing audit review without protocol
or code set, disputes review, sending final demand, 3rd level CPL audit etc. Other responsibilities may include but not
limited to updating Management Information Systems (MIS), providing oversight on quality feedback, communicating
essential updates within the team, and conducting training sessions for team members.
JOB RESPONSIBILITIES
- Perform medical lien review to ensure smoother transition of liens across the stages and to perform lien
negotiation if required.
- Drafting outbound correspondence and timely uploading outbound and inbound documents to our proprietary
database.
- Auditing medical claims itemizations and investigating discrepancies. This includes audit without protocols
and 2nd level or higher-level audit checks.
- Developing relationships with lien agencies by communicating professionally and effectively among multiple
modes, including phone calls and email.
- Timely following up on assigned files and exercising judgment regarding escalating problematic files to a
senior case analyst or management.
- Develop and uphold Standard Operating Procedures (SOPs) and comprehensive training documents.
- Manage process transitions and conduct training sessions for both On-Job Training (OJT) and Business as
Usual (BAU).
- Deliver training to both existing and new associates, ensuring alignment with performance standards.
KNOWLEDGE AND SKILLS
- Bachelor’s degree in any stream (preferably- commerce background).
- Proven 3- 5 years of experience in US-based MNC.
Technical Skills:
- Data entry skills:
A typing speed of at least 60 WPM with above average spelling, grammar, and diction skills.
- Advance MS office skills including MS Excel (Pivot Tables, VLOOKUP, conditional formula, Tables,
Formatting, Creating Dashboard, etc) and Proficiency in Outlook (Create Rules, Manage Different Mailbox,
Manager Calendar, etc.). Basic knowledge of SQL query will be appreciated.
- Exhibit proficiency in both written and verbal communication, showcasing the ability to comprehend provided
information and draw appropriate conclusions.
- Adept at seamlessly transitioning new processes and establishing comprehensive Standard Operating
Procedures (SOPs) and documentation. Demonstrates the ability to effectively disseminate knowledge to team
members for enhanced operational understanding.
- Possesses robust analytical capabilities, enabling the identification and resolution of complex issues.
- Actively seeks opportunities to refine existing workflows, contributing to overall operational excellence.
Behavioral Skills:
- Demonstrates strong problem-solving abilities, analyzing alternatives and implementing effective solutions to
address work-related challenges.
- Ability to be discrete and maintain high levels of confidentiality.
- Have excellent customer service, interpersonal, listening, and problem-solving skills.
- Are professional and strong with both oral and written communication.
- Displays agility, capable of functioning both as a sole contributor and a collaborative team player as needed.
- Possesses a keen eye for details and subtle shifts, proactively identifying potential problems and devising
solutions before they escalate.
- Exhibits flexibility and adaptability, responding swiftly in fast-paced workplaces to meet shifting demands.
Open-minded and flexible in various scenarios.
ADDITIONAL NOTES
- Knowledge of US Insurance/liens will be an added advantage.
- Previous experience in operations and business analysis is preferable.
CAREER PROGRESSION
- Senior Case Analyst
