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It all began in the year 2000. Hinduja Global Solutions started its operations with one client and 25 employees.

From its inception, Hinduja Global Solutions had set its sights high, and was focused on building client's businesses. The success graph grew rapidly.

Between 2000 and 2003, Hinduja Global Solutions acquired businesses of major international clients, some of who were among the leaders in the Insurance & Telecom industries, thus establishing itself as a force/major player to reckon with.

2003 also marked the company's entry into international markets, with the establishment of its center in Manila.

Today, Hinduja Global Solutions has 23 delivery centers across the US, Canada, Mauritius, the Philippines and India all working towards creating leaders out of their clients. At all times.

Date Posted:

August 07, 2010

Job Title:

Healthcare Associate

Job Description:

With over six and a half years of experience in servicing Insurance companies across the United States, Hinduja Global understands the finer nuances of the industry and is geared to meet the requirements of global insurance companies.

With operational excellence gained, and process improvements made over time, Hinduja Global has moved up the value chain to provide high-end services like plan building & payout of claims without any dollar limit.

Today, the company's Claims help-desk handles escalations with regard to the process & systems from clients' own captive centers across the world.

Suite of Solutions

Marketing

Building & Maintenance of insurance plans
Creating & Updating Product Contracts
Insurance Plans/Product Testing
Up-Sell and Cross-sell of insurance plans

Pre-Adjudication

Claims data entry (workers compensation, automobile, property & liability)
Co-ordination of Benefits (COB)
Claims Resolution Processing (CRP)
Paper Referral Processing (PRP)
ECHS Claims (Provider & Member)
Medical Triage
Provider Details Verification Through Calls
Eligibility Exception Process (EEP)

Adjudication

Claims Adjudication
Health Maintenance Organization (HMO) - Medical, Hospital & Dental claims
Traditional PPO - Medical, Hospital & Dental claims
Medical Bill Review Process
Workers Compensation
Transfer Of Counters
Requesting Information for processing
Other Insurance Information processing

Post Process & Backend Support

Overpayment Recovery Research
Medical Claims Management/Patient Management
Provider & Member Correspondence
Handling Member Queries (HMO & Traditional)
Claims Worldwide Help Desk
Claims Audit
Special Investigation Unit for fraud detection

Competitive Advantages

Over 6 years of experience in providing services for us based Fortune 150 insurance clientele
Significant domain experience which reduces the learning curve, starting from transition to ongoing operations
Transitioned over 65 queues since inception; over 1750/1750+ processors working in the Insurance division handling 36 million transactions, and 2 million calls annually
HIPAA and ISO 27001 certification ensures stringent security measures
Ability to deliver seamless transitions in less than 30 days because of readily available transition and key management team, coupled with plug & play infrastructure which significantly shortens the project implementation timeline
Use of proprietary performance management tools to track productivity and quality besides improving processes to eliminate time wastage and enhancing overall efficiency across each project
SMEs engaged in delivering services to clients also provide help-desk and audit services for other offshore vendors, and for the captive centers of the client

Job Requirements:

· Graduate of any 4-year course OR

· Minimum 2-years college level education with at least 6 months relevant work experience gained in a customer service-oriented environment

· Has very good customer service orientation

· Has very good communication and interpersonal skills

· Has very good analytical and problem solving skills

· Knowledgeable in MS Office and internet browsing

· Experience in the health insurance business will be an advantage (but not required)

· Willing to work in shifts

Industry:

Call Center

Region: