Process Associate - Disability Claims

Process Associate - Disability Claims

Genpact
Not Specified
Not Specified

Job Description


With a startup spirit and 90,000+ curious and courageous minds, we have the expertise to go deep with the world's biggest brands-and we have fun doing it. Now, we're calling all you rule-breakers and risk-takers who see the world differently, and are bold enough to reinvent it. Come, transform with us.
Inviting applications for the role of Process Associate - Disability Claims
In this role, you will be responsible for processing claims of individuals with policies for employee benefit product- short term disability and long-term disability.
Responsibilities
. Qualitative review of the documents received for completion and gather additional requirements
. Follow up on requirements via e mail and send correspondence
. Check for Initial eligibility
. Complete Initial claim review
. Capture the claim information on data base and workflow systems
. Calculation of the Benefit payout period and payout
. Take decision on claims (pregnancy and simple claims)
. Generate correspondence as needed. i.e., follow-up letters.
. Meet individual goals for claims assigned and meet the expected service levels as defined, etc.
. Ability to accurately interpret and compile information from a variety of sources and systems
. Ensure that turnaround time and quality of the work meets Company service standards
. Get along with Onshore /Offshore and customer in a supportive and professional manner via email and on calls
Qualifications:
Minimum qualifications
. Graduation in any stream except BBA, MBA, B.Tech, M.Tech and Technical Graduation & Law
. Proven Claims backend operations experience for Group Disability or Employee Benefit or Worker Compensation or Claim management or Overpayment recovery or Absence management
. Good English Communication (Both written & verbal)
. Proactive communication & High analytical skills - ability to foresee issues and suggest solutions, with impactful data
. Display energy and passion in approaching the job!
. Decision making capability!
. Ability to work under pressure and meet deadlines, while maintaining a positive attitude and providing outstanding customer service
. Good in MS Excel
. Should be able to do MIS reporting / report outs
Preferred qualifications
. Experience in Group/ Individual Disability Insurance /Employee benefit/ Workers Compensation/ Life/ Health and/or LTC
. Insurance qualification/certifications will be an added advantage
. Maintain key records like working files, email for reference and audit purpose
Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values diversity and inclusion, respect and integrity, customer focus, and innovation. For more information, visit www.genpact.com. Follow us on Twitter, Facebook, LinkedIn, and YouTube.

About Genpact

Job Source : www.genpact.com

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