Claims Resolution Specialist

4 days ago


Pune, Maharashtra, India beBeeClaims Full time ₹ 40,00,000 - ₹ 80,00,000
Claims Processing Associate Role Summary:

This is a Claims Processing Associate position in our organization. The successful candidate will be responsible for ensuring accurate claim resolution in a dynamic and fast-paced environment that prioritizes exceptional customer service.

The role requires timely and accurate payment of vendor payments, sending letters and other additional tasks to assist the claim handlers. Associates would also need to liaise with claims handlers on a need basis.

Key Responsibilities:
  • Create correspondence and send letters using the email process to insured, claimant, and service provider as per the process requirements.
  • Review and research payment information before issuing the payment.
  • Manage complex claims processing functions including process vendor payment.
  • Utilize related systems and technology proficiently to streamline processes.
  • Evaluate the impact of new releases, procedures, and suggestions.
  • Identify and address system errors, program malfunctions, workflow inefficiencies or processing improvements by liaising with team leaders or supervisors.

Requirements:
  • Graduation or diploma from a college or university with a minimum of fifteen (15) years of education.
  • Eighteen months of work experience in a related field is required.
  • Experience in BPO US PC Insurance industry.
  • Experience in BPO specifically in US PC Claims.

Skills:
  • Good computer navigation skills.
  • Good keyboarding speed of 25 WPM.
  • Good knowledge of the complete MS Office suite.
  • Knowledge of US PC insurance.
  • Knowledge of US PC claims.
  • Communication skills - English.
  • Teamwork.
  • Managing Self.
  • Adaptability.


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