Life Adjudication

4 days ago


Bengaluru Gurugram, India Sun Life Global Solutions Full time ₹ 2,00,000 - ₹ 6,00,000 per year

Role & responsibilities

Looking for Immediate Joiner (IC Role)

Shift timings- 05:30 PM to 02:00 AM (Night Shift)

Life Claims Adjudicator:

The Individual Insurance Claims department plays a crucial role with our clients as we offer them financial help when they most need it. We are looking for a motivated individual who is eager to learn to hold the position of Claims Adjudicator. The position offers the possibility to progress internally through our career ladder. Life Claims Adjudicator

Role summary: The Claims Adjudicator is responsible for the assessment of claims for individual insurance.

Main Accountabilities:

  • Assess the documentation received for a claim in order to reach a decision Determine how the contract applies to each claim
  • Communicate clearly and proactively with clients, advisors and various professionals and effectively manage their expectations
  • Maintain established service standards Evaluate opportunities for process improvements and actively participate in team initiatives and projects

Competencies:

  • Knowledge of individual life insurance
  • Excellent written and verbal communication skills with an ability to handle written inquiries of a sensitive nature
  • 5 years of client service experience or 2 years in a claims environment
  • Strong problem solving and analytical skills
  • Attention to detail
  • Team player with a positive attitude and commitment to provide quality service
  • Ability to balance high work volumes and inquiries
  • Good organizational and time-management skills
  • Solid PC skills with knowledge of Word and Excel

Requirements:

  • College diploma/university degree/CEGEP degree or relevant experience
  • Knowledge of MLIF, Ingenium, CSW, Filenet and IBM Notes
  • English
  • Knowledge of individual life insurance

Assets:

  • Education involving knowledge of Medical terminology
  • First Level LOMA diploma or dedication to work towards attaining it

Preferred candidate profile



  • Bengaluru, Karnataka, India Star Secutech pvt ltd Full time

    **Job Title**: Team Lead - Claims Adjudication **Location**: Bangalore **Experience**: 5-8 years in US Healthcare Claims Adjudication with minimum 2+ years in a Team Lead role **Key Responsibilities**: - Supervise and manage a team of claims adjudicators ensuring daily targets and quality standards are met. - Monitor team performance, allocate workload,...


  • Gurugram, Haryana, India Sun Life Full time

    You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll...


  • Bengaluru, Karnataka, India ACKO Full time ₹ 2,50,000 - ₹ 7,50,000 per year

    About JobThe Life Insurance Group Claim Adjudicator is responsible for reviewing, analyzing, and adjudicating group life insurance claims in accordance with policy terms, company guidelines, and regulatory requirements. The role ensures timely and accurate assessment of claims while maintaining a high level of customer service and compliance. The adjudicator...


  • Gurugram, India Genpact Full time

    Ready to shape the future of work? At Genpact, we don’t just adapt to change—we drive it. AI and digital innovation are redefining industries, and we’re leading the charge. Genpact’s AI Gigafactory, our industry-first accelerator, is an example of how we’re scaling advanced technology solutions to help global enterprises work smarter, grow faster,...


  • Bengaluru, India Paramount Health Services & TPA Pvt Ltd Full time

    Paramount Health Services & TPA Pvt Ltd. One of the leading TPA Industry. Looking for medical officer(medical scrutiny) for claim processing. Qualification**:MBBS**.(**Work from office**) Experience :1yr(clinical or non clinical) *LOCATION :Bangalore* **Salary**:As per company standard and other benefits like PF, GMC, gratuity,etc ~*_Job description_~* -...


  • Bengaluru, India Gainwell Technologies Full time

    Summary The Sales & Product SME bridges sales, product, and demo engineering by designing realistic demo scenarios, defining business outcomes, and representing the user perspective. This SME ensures all demos align to practical workflows, working closely with the Demo COE, Product, and Infra teams. This role is strictly involved in the development of the...


  • Bengaluru, India Micron Full time

    Our vision is to transform how the world uses information to enrich life for all. Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of information into intelligence, inspiring the world to learn, communicate and advance faster than ever. Our vision is to transform how the world uses information...


  • Bengaluru, India HSBC Full time

    **Some careers have more impact than others** If you’re looking for a career where you can make a real impression, join HSBC and discover how valued you’ll be. HSBC is one of the largest banking and financial services organizations in the world, with operations in 64 countries and territories. We aim to be where the growth is, enabling businesses to...


  • Bengaluru, Karnataka, India The Cigna Group Full time

    Main Duties/Responsibilities: - Adjudicate international medical/dental and vision claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals. - Monitor and highlight high cost claims and ensure relevant parties are aware. - Monitor turn around times to ensure your claims are settled within required time...


  • Gurugram, Haryana, India Alight Full time

    **Our story** At Alight, we believe a company’s success starts with its people. At our core, we Champion People, help our colleagues Grow with Purpose and true to our name we encourage colleagues to “Be Alight.” **Our Values**: **Champion People **- be empathetic and help create a place where everyone belongs. **Grow with purpose - **Be inspired by...