Senior Executive Urgent Search

4 days ago

Noida, Uttar Pradesh, India EXL IT service management Full time
Job Description

Job Description- Financial consulting team

Overview:FBS is responsible to critically evaluate financial aspect of disability claim and provide the claim owner with calculation of benefit and other observation based on the documents, activates & interaction with claimant, policy holder and attending physician. In order to perform above mentioned tasks, FBS must have strong mathematical and analytical skills. Must be able to demonstrate a general knowledge of disability concepts, contacts, policies, terms and products. Must be able to use disability claims systems to calculate benefit timely and accurately and should be able to provide rational of the decision made during benefit review. Must have strong command on verbal and written English as FBS role require communication with claim honors, internal departments and employer at times.

Responsibilities:

- Calculate basic monthly earnings and basic weekly earnings for production line Long term disability (LTD) and Short term disability (STD).
- Perform a detailed review on claim forms, claim activities, payroll, notes and other documents.
- Work as a second set of eyes for claim honors by identifying and suggesting the action plan and outstanding tasks for a LTD or STD files.
- Communicate with claim owners and other internal department regarding benefits, US payroll, & Contracts.
- Ensuring that benefit are calculated based on the contract.
- Provide accurate calculation and recommendation to claim honors in single attempt to demonstrate high level of end customer experience.
- Work effectively with the team and other departments.
- Other duties as assigned.

Requirements:

- At least must have Bachelor's degree. Preferably in commerce or finance.
- 2+ year experience of Group insurance, US payroll, US Healthcare and Claims adjudication experience. Preferably disability claim or US payroll or both.
- Ability to work independently with minimum support.
- Good verbal and written communication skills.
- Good computer knowledge. Must be able to use Microsoft (Word & Excel) application efficiently.
- Knowledge of ERISA regulations, offsets and deductions, disability durations and social security procedure.
- Knowledge of disability terms like Return to work, COLA, FMLA, Elimination period and Contributions.
- Strong ability to identify, analyze and solve problems.

Preferred:

- Prior Disability, FMLA or US payroll experience.

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