Job Description

Qualitative review of the documents received for completion and gather additional requirements

Follow up on requirements via e mail and send correspondence

Check for Initial eligibility

Complete Initial claim review

Capture the claim information on data base and workflow systems

Calculation of the Benefit payout period and payout

Take decision on claims (pregnancy and simple claims)

Generate correspondence as needed. i.e., follow-up letters.

Meet individual goals for claims assigned and meet the expected service levels as defined, etc.

Ability to accurately interpret and compile information from a variety of sources and systems


Role:Associate / Senior Associate - Technical

Function:ITES / BPO / KPO / Customer Service

Industry Category:IT&ITeS

Sub Category:BPO

Job Type:Permanent

Job Reference ID:BPOTECH

Total Openings:5

Salary:1 to 5 Lakhs


Job Qualifications

Qualifications :

Minimum qualifications 

Graduation in any stream except BBA, MBA, B.Tech, M.Tech and Technical Graduation & Law

Must have 1-2 years Claims backend operations experience for Group Disability or Employee Benefit or Worker Compensation or Claim management or Overpayment recovery or Absence management

Strong English Communication (Both written & verbal)

Proactive communication & High analytical skills should be able to foresee issues and suggest solutions, with impactful data

Display energy and enthusiasm in approaching the job

Must have decision making capability while processing

Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service

Preferred qualifications

Experience in Group/ Individual Disability Insurance /Employee benefit/ Workers Compensation/ Life/ Health and/or LTC

Insurance qualification/certifications will be an added advantage

Support team efforts to ensure that individual, team goals are met.

Maintain key records like working files, email for reference and audit purpose

Education (Specialization): B.Tech/B.E-Computers

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