Complexity Claims Processor

2 days ago

Pune, Maharashtra, India beBeeClaimHandler Full time ₹ 8,00,000 - ₹ 12,00,000
Job Overview

This role involves handling complex level 3 Voice processes, primarily focusing on logging claims for customers. The process requires the ability to manage multiple tasks and prioritize activities efficiently.

Key Responsibilities:
  • Process incoming calls and correspondence accurately and efficiently
  • Take necessary actions on incoming payments and follow up on claims as per standard procedures
  • Ensure all transactions are processed in accordance with predefined parameters
  • Meet assigned targets within agreed Service Level Agreements (SLAs)
  • Maintain high-quality transactions in compliance with company guidelines
  • Manage claim costs effectively and minimize leakage
  • Accurately manage reserves and payments, and the lifecycle of claims
  • Adhere to established Company Policies and Procedures
Internal Interactions:
  • Assistant Manager - Operations for reporting performance, escalation handling, clarifying concerns, and seeking feedback and support
  • Manager for resolving issues left unresolved by the Assistant Manager and conducting monthly evaluations
  • Agents for cooperation & clarification on process-related matters & providing assistance and support when required
  • Subject Matter Expert for work thread related issues and escalated transactions
  • QCA for feedback and audit
  • Trainers for Pre-process and Process training
External Interactions:
  • Customer/Supplier in the UK for claim progression
  • SME / Trainers at the client end for training
  • Exception/escalation teams at the client end for seeking clarifications & answering queries

Essential skills include proficiency in English language, previous international Voice experience, strong computer navigation skills, familiarity with MS Office, and knowledge of business concepts. Soft skills such as self-discipline, result orientation, adaptability, listening and comprehension skills, questioning and reasoning skills, customer service focus, and telephone etiquette, along with multitasking, prioritization, and daily work management abilities, are also crucial.

Requirements:
  • Graduate or Diploma holder with a minimum of 15 years of education
  • Prior experience in an international Voice process is mandatory
  • Candidates with prior UK insurance experience will be given preference

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