Insurance Associate

Primary Internal InteractionsAM for the purpose of reporting performance, escalation handling, clarifying concerns, and seeking feedback and support as well as associate development.Manager for the purpose of settling issues left unresolved by the AM and monthly evaluation of performance.Quality Compliance Analyst (QCA) for the purpose of feedback and...

Process Details & Primary ResponsibilityProcess payments on behalf of Institutional MLM Group A customers and Voluntary benefits - GUL, LRK, AARP, LAPSE Process bills / invoices and allocate cash. Research website to review backup documentation. Send request for additional/missing information. Process identified suspense items distributed by Tampa RPA's....

Experience: 2 years of work experience in US Health Claims processing preferably in claims adjudicationKnowledge and skills (general and technical)Technical Skills Computer navigation skills Keyboarding and data entry speed (minimum 30 wpm with 90% accuracy) Working knowledge of MS Excel and MS Word. Process Specific Skills Knowledge of Insurance principles...

Position SummaryBasic Function Backend support needed to manage & validate claims for NIGO which are transactions rejected by BOT & routed to Trust portal. Report utilized to locate claims that qualify to have a satisfaction callback performed, calls and answers are tracked and sent to appropriate leaders for review. Create and route tasks to NIGO teams...

Position TitleAssociateFunction, Responsibility LevelOperationsReports toManagerAssociate NameSpan of Control0Location - GOSC Noida:Permanent/ Temporary:Permanent:Basic Function: Monitor and resolve intraday pretrade compliance restrictions and warnings via Dashboard and override where necessary. Research and resolve posttrade overnight compliance...

Position SummaryThe process consists of collecting, reviewing, analyzing & inputting information for generating initial rate for groups < 100 lives; interact and consult with onshore SMEs and Underwriters.Responsibilities:1. Essential Functions**:***: New Business Rate Generation associates are responsible for:Data scrubbing & analysis Review, interpret &...

Position Summary The process consists of collecting, reviewing, analyzing & inputting information for generating initial rate for groups < 100 lives; interact and consult with onshore SMEs and Underwriters. Job Responsibilities 1. Essential Functions New Business Rate Generation associates are responsible for: Data scrubbing & analysis - Review,...

Basic Function:Review and count incoming records and translate those records into transactions. Activities are researched and the request is processed as per procedurePrimary External Interactions: SME / Trainers at the client end for training. Contact customer advocate, customer for purposes of research on claims.Pre-requisite:Educational Qualification-...

Skills Technical SkillsComputer navigation skillsKeyboarding and data entry speed (minimum 20 wpm with 90% accuracy)Working knowledge of MS Excel and MS Word.Understands basic principles of accounting. (preferred) Process Specific SkillsEffective communicator / Speaks clearly & succinctly.Strong understanding and comprehension of the English...

Minimum ExperienceMinimum 18 months experience in BPO industry.Skills:Technical Skills: Computer navigation skills Keyboarding and data entry speed (minimum 20 wpm with 90% accuracy) Working knowledge of MS Excel and MS Word. Understands basic principles of accounting. (preferred)Process Specific Skills Effective communicator / Speaks clearly & succinctly....

Basic Function: Voluntary billingP&C Account rep., is accountable for end to end billing management for Billing & Remittance customers (P&C). Facilitate a working dialog with Group contacts, stateside account managers, remittance team and internal business partners in order to provide solutions to the client billing needs.Essential Functions: Build and...

Primary External Interactions SME / Trainers at the client end for training.Organizational RelationshipsReports To: Assistant Manager, Long Term Disability Process Supervises: 0Skills: Good computer navigation skillsTechnical SkillsProcess Specific SkillsSoft skills (Minimum)Soft Skills (Desired) Good keyboarding speed Good knowledge of complete MS Office...

Primary External Interactions • Employees (EE), Employers (ER), Claims specialist & other Stateside Teams on emails • SME / Trainers at the client end for training. Organizational Relationships Reports To: Assistant Manager, Long Term Disability Process Supervises: 0 Skills • Good computer navigation skills Technical Skills Process Specific...

Responsibilities: Process various transactions (Reviewing the transactions processed by other team members or onshore processors for different product types or business units) Exercise judgment and product understanding to determine appropriate handling of complex issues and highvalue financial transactions around core business functions of the unit...

Position SummaryMetrefer/Dental Claims Operations is the MetLife correspondence queues contain processing of dental claims basis the response received from the customer. All the claims which cannot be processed by the sub-contractor, comes in Metrefer/Dental Claims Operations queueWork queues that have claims route to GOSC can be defined by the type of edit...

Handling the legal portfolio at Insurance Samadhan looking after PAN India advocate tie-ups Handling the legal portfolio at Insurance Samadhan Should be able to handle more than legal cases, reporting and briefing Looking after PAN India advocate tieups Managing internal as well as external customers Ensuring TAT and timelines are adhered to Getting Civil...

Process Details & Primary Responsibility:Process payments on behalf of Institutional MLM Group A customers and Voluntary benefits - GUL, LRK, AARP, LAPSE Process bills / invoices and allocate cash. Research website to review backup documentation. Send request for additional/missing information. Process identified suspense items distributed by Tampa RPA's....

Position Summary Metrefer/Dental Claims Operations is the MetLife correspondence queues contain processing of dental claims basis the response received from the customer. All the claims which cannot be processed by the sub-contractor, comes in Metrefer/Dental Claims Operations queue Work queues that have claims route to GOSC can be defined by the type...

Process Details & Primary Responsibility:Process payments on behalf of Institutional MLM Group A customers and Voluntary benefits - GUL, LRK, AARP, LAPSE Process bills / invoices and allocate cash. Research website to review backup documentation. Send request for additional/missing information. Process identified suspense items distributed by Tampa RPA's....

Process Details & Primary ResponsibilityMonitor the billing, transmission and payment processes for assigned customers of varying complexity. Reconcile differences between billed and paid amounts from group customers. Implement corrective actions, as needed, to ensure correct billing for insurance plan participants. Assist in coordinating internal resources...