Process Associate – Claims

1 month ago

Gurugram, India Genpact Full time

Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose – the relentless pursuit of a world that works better for people – we serve and transform leading enterprises, including the Fortune Global 500, with our deep business and industry knowledge, digital operations services, and expertise in data, technology, and AI.


Inviting applications for the role of Process Associate/ Process Developer – Claims
Responsibilities: 
• Transaction processing and making reach out calls to Insured/provider/facility according to standard work & SOP
• Prioritize transactions according to detailed guidelines to meet SLA
• Plans and prioritizes tasks and work responsibilities to achieve objectives
• Comprehending and responding to customer inquiries. Identify, research, and resolve problems.
• Assist with/perform other team tasks as the need arises.
• Ability to accurately interpret and compile information from a variety of sources and systems
• Ensure that turnaround time and quality of the work meets Company service standards
• Interact with Onshore /Offshore and customer in a supportive and professional manner via email and on calls
• Handle own work in process and support team efforts to ensure that individual, team goals are met.
• Maintain key records like working files, email for reference and audit purpose
• Handle basic day to day requirements of excel
Qualifications:
• Graduation in any stream except B.Tech and Technical Graduation & Law
Essential skills: 
• Proven experience in Claims with Life or Health Insurance
• Understanding of HIPAA (PHI/PII)
• Excellent English Communication (Both written & verbal)
• Proactive communication & High analytical skills with ability to foresee issues and suggest solutions, with impactful data
• Displays energy and passion in approaching the job
• Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing outstanding customer service
• Ready to work on stretched working hours
• Ability to independently get along with internal and external customers
• Customer service focus
• Basic Computer knowledge along with typing speed of 40 words/minute
• Insurance knowledge
• Experience towards direct calling to Insured/ providers/facility
• Calling skills with TX > 70

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