CSA

© Firstsource Solutions Limited l Confidential | March 9, 2021 1 Job Description – CSA Non - v oice Claims & Enrol l ment Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services.

Firstsource specialises in helping customers stay ahead of the curve through transformational solutions in order to reimagine business processes and deliver increased efficiency, deeper insights and superior outcomes.

We are trusted brand custodians and long - term partners to 100+ leading brands with presence in the US, UK, Philippi nes and India.

Our ‘rightshore’ delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals.

Our clientele includes Fortune 500 and FTSE 100 compa nies.

Job Overview: A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications.

The claims examiner should also route the claim to different department or provider / member for any missing information that required for claims adjudication.

The claims needs to be completed adhering to required TAT and quality SLA.

Key Responsibility: 1.

Production, Quality 2.

Shift and Schedule adherence 3.

Process Knowledge Key Sk ills :

• Listening & Comprehension Reporting Structure: Sr Executive – Team Leader – Manger Operations. Success Profile: Qualification & Experience : Graduation (Any discipline - 3 years) without arrears.