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Claims Specialist

3 weeks ago


Pune, Maharashtra, India beBeeClaimsSpecialist Full time ₹ 1,04,000 - ₹ 1,30,878
Job Title: Claims Specialist

As a Claims Specialist, you will be responsible for handling and processing death claims, including reviewing beneficiary claim forms, maintaining death trackers, and communicating with clients and agents. You will work closely with the team to ensure timely resolution of claims and provide excellent customer service.

The ideal candidate will have relevant experience in Life and Annuities Claims, strong English communication skills, and analytical skills. They should also be proactive and able to work under pressure while maintaining a positive attitude.

Key Responsibilities:

  • Initial death notification and follow-up on incomplete documents and information
  • Reviewing and matching beneficiary claim forms (death claims)
  • Maintaining and reviewing death trackers with multiple beneficiaries
  • Review return mail and determine what action to take, resend letter/packet, research address
  • Strong written English and good understanding of grammar to review documents and letter for grammatical mistakes and correcting them accordingly
  • Data Entry: Enter and update policy and transaction information into the system with high accuracy
  • Communicate with clients and agents to obtain necessary information, resolve issues, and provide updates on request status
  • Customer Service: Provide excellent customer service to clients and agents, ensuring satisfaction and striving to meet and exceed service standards
  • Industry Knowledge: Develop and maintain a solid understanding of the life and annuity insurance industry, products, services, and processes
  • Qualitative review of the documents received for completion and gather additional requirements
  • Prioritize transactions according to documented guidelines to meet SLA
  • Plans and organizes tasks and work responsibilities to achieve objectives
  • Assist with/perform other team tasks as required
  • Ability to accurately interpret and compile information from a variety of sources and systems
  • Interact with Onshore /Offshore and customer in a respectful and professional manner via email
  • Manage own work in process and support team efforts to ensure that individual, team goals are met
  • Maintain key records like working files, email for reference and audit purpose
  • Should be able to handle basic day to day requirements of excel

Required Skills and Qualifications:

  • Relevant experience in Life and Annuities Claims
  • Understanding of HIPAA (PHI/PII)
  • Strong English Communication (Both written & verbal)
  • Proactive communication & High analytical skills - should be able to foresee issues and suggest solutions, with impactful data
  • Displays energy and enthusiasm in approaching the job
  • Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service
  • Ready to work on stretched working hours
  • Basic Computer knowledge along with typing speed of 35 words/minute
  • Insurance knowledge
  • Experience towards direct calling to Insured/ providers/facility

Benefits:

Be a transformation leader - Work at the cutting edge of AI, automation, and digital innovation

Make an impact - Drive change for global enterprises and solve business challenges that matter

Accelerate your career - Get hands-on experience, mentorship, and continuous learning opportunities

Work with the best - Join 140,000+ bold thinkers and problem-solvers who push boundaries every day

Thrive in a values-driven culture - Our courage, curiosity, and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress

Come join the tech shapers and growth makers at Genpact and take your career in the only direction that matters: Up

Let's build tomorrow together

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

Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way