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