Claims Automation Specialist

4 weeks ago


Mumbai, Maharashtra, India Reinsurance Group of America Full time

Job Summary

We are seeking a highly skilled Claims Automation Specialist to join our team at Reinsurance Group of America. In this role, you will be responsible for creating system extracted outputs and excel based outputs by capturing data related to medical, non-medical, and financial aspects from underwriting and claims documents using OCR/ML/NLP technology.

Key Responsibilities

  • Create bidder files, extract data from all the fields provided from documents such as application forms, medical records, questionnaires, financial statements, claims documents using OCR/ML technology.
  • Perform QA check on data extracts, correct any incompatibilities and ensure high accuracy case summary output.
  • Ensure completion of assigned task in a timely and efficient manner, meeting or exceeding turnaround time and productivity goals and ensuring compliance with internal audit guidelines.
  • Prepare test scenarios and perform UAT, regression testing and system functionality testing as deemed necessary.

Collaboration and Communication

  • Collaborate with functional and cross-functional teams across the globe, including participating in regular update meetings, Teams group updates and discussions, and project brainstorming sessions to ensure the Case Summary process continues to function in a smooth and seamless manner.
  • Provide feedback to third party vendors to continually improve performance of the OCR system.
  • Builds and maintains strong working relationships with internal and external clients and uses effective listening skills to understand their needs in relation to machine learning technology and all its various components.

Requirements

  • Bachelor's Degree and equivalent related work experience (2-3 years).
  • Ability to comprehend and analyze medical and financial information quickly to making sound data entry recording.
  • Advanced oral and written communication skills demonstrating ability to share and impart knowledge.
  • Ability to quickly adapt to new methods, work under tight deadlines and stressful conditions.
  • Must be flexible, creative, self-motivated and ability to work well both within a team environment as well as independently.

Preferred Qualifications

  • 4-5 years of experience in Underwriting & claims automation FALU/DLDU or other industry qualifications.
  • Past exposure to any IT related project and working experience pertaining to underwriting or claims automation.
  • Comfort and familiarity with handling technologies such as OCR/Machine Learning/NLP systems.


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