Thryve Digital Off Campus Drive

Qualifications

Thryve Digital Off Campus Drive

Qualifications & Skills Required:-

• Bachelor’s Degree/Diploma in any stream
• Freshers – Exposure to claims processing preferred
• Typing speed of at least 50 words per minute
• Basic computer knowledge (MS Office- excel, word, power point)

Knowledge, Skills and Abilities (This section describes additional preferred characteristics)

• Ability to take direction and to navigate through multiple systems simultaneously.
• Knowledge of administrative and clerical procedures and systems such as word processing and
• managing files and records.
• Ability to use mathematics to adjudicate claims.
• Ability to solve problems within pre-defined methods and guidelines.
• Knowledge of operating systems specific to claim processing.

Job Description & Responsibilities:-

This section lists the major duties and responsibilities of the position. This is not an exhaustive list of all job duties/functions/attributes. Depending on Role, essential responsibilities may also include oversight and management of people and functions described below.

• Determine if claim information is complete and correct.  Enter/verify claims data.
• Resolve claim edits (suspensions), review history records and determine benefit eligibility for service.
• Review payment levels to arrive at final payment determination.
• Meets all production and quality standards.
• Elevates issues to next level of supervision, as appropriate.
• Maintains accurate records, including timekeeping records.
• Other duties as assigned or requested.

Thryve Digital Off Campus Drive