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Claims Specialist

1 month ago

Noida, India Marsh McLennan Full time

Asia Health Operationsis is seeking candidates for the following position based in the Noida office

Senior Analyst

What can you expect?
We are looking to hire a Senior Analyst in the Healthcare Claims Adjudication and email enquiries Team. The role will be responsible for processing & validating the claims adjudication of medical claims for the employees of our clients based in Singapore. The role also demands to resolve email enquiries of the employees related to settlement disputes, claims status, estimation of benefits coverage, product coverage etc.

What is in it for you?
Medical insurance, personal accident insurance, group term life insurance from the day you join us
Holidays (Location Specific)
Shared Transport (Provided the address falls in service zone)

We will count on you to:
Process & Validate various insurers decision on settlement of health claims – verification of bills under various health product
Email enquiries handling for health insurance products – policies like GOC, GOS, GHS, GBT etc
Updating all documentation and training of team members
Drive the culture of First Time Right
Preparation of Month end/Weekly/Daily Reports
Support self-development (cross trainings, process training, soft skill trainings etc)
Support all projects and quality initiatives – Process improvement ideas

What you need to have:
Graduation / Post-graduation in any stream
1+ years of experience purely in healthcare claims management - verification of bills under various health products
Exceptional written & verbal communication skills
Experience in Email query handling for health insurance products – policies like GOC, GOS, GHS, GBT etc
Should be good at basic calculations – calculating prorated benefits, calculating final benefits

Education:
Graduate (any stream)

What makes you stand out?
Excellent Communication Skills both written & verbal
Executive presence that conveys composure and confidence in all situations
Strong analytical, research and problem solving skills, attention to details

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