Claims Process Specialist

8 hours ago

Chennai, Tamil Nadu, India beBeeInsurance Full time ₹ 18,00,000 - ₹ 25,00,000
Insurance Claims Analyst Job Description

Position Overview: We are seeking a highly skilled and detail-oriented Insurance Claims Analyst to join our team. This role is responsible for processing insurance claims timely and qualitatively, meeting and exceeding production, productivity, and quality goals.

Key Responsibilities:

  • Review medical documents, policy documents, policy history, claims history, system notes, and apply trained client-level business rules to make appropriate claims decisions, call out claims trends, and flag fraud activities.
  • Analyze customer queries to provide timely responses that are detailed and ordered in logical sequencing.
  • Cognitive skills include language, basic math skills, reasoning ability with excellent written and verbal communication skills.
  • Stay up-to-date on new policies, processes, and procedures impacting the outcome of claims processing.
  • Continuous learning to ramp up on the knowledge curve to be the SME and to be compliant with any certification as required to perform the job.
  • Be a team player and work seamlessly with other team members on meeting customer goals.
  • Developing and maintaining a solid working knowledge of the insurance industry and of all products, services, and processes performed by the claims function.
  • Handle reporting duties as identified by the team manager.
  • Handle claims processing across multiple products/accounts as per the needs of the business.
  • Contribute effectively to process improvements that would improve quality, productivity, and customer experience.
  • Actively engage on strategic initiatives as identified by the team manager.

Requirements for this Role:

  • Both Under Graduates and Post Graduates can apply.
  • Excellent communication (verbal and written) and customer service skills.
  • Able to work independently strong analytic skills.
  • Detail-oriented ability to organize and multi-task.
  • Ability to make decisions.
  • Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications.
  • Demonstrate strong reading comprehension and writing skills.
  • Cognitive Skills include language, basic math skills, reasoning ability, and verbal communication skills.
  • Ability to work in a team environment.

Benefits and Other Considerations:

  • Handling different reports - IGO/NIGO and Production/Quality.
  • To be in a position to handle training for new hires.
  • Work together with the team to come up with process improvements.
  • Strictly monitor the performance of all team members and ensure to report in case of any defaulters.
  • Encourage the team to exceed their assigned targets.
  • Flexible schedule availability for this position is Monday-Friday 6PM/4AM IST.

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