Process Developer – Insurance Claims

Genpact

2 - 5 years

Noida

Posted: 17/12/2024

Job Description

Responsibilities

Research on the Claim and making the payment to TPA post matching the Invoices the management of all related processes and resolution on it, account reconciliation, Journal Voucher Entry, and managing funds received from TPA and applying then in the Chubb system.
The CBC (Claim Business Coordinator) will effectively communicate and support the claim goals, while providing quality customer service as well as actively pursue knowledge of skills and tools to be used in all claim payment efforts.
Follow-up with various departments to get supporting documents/ info for invoices/MIQ / TPA claim resolution
Ability to handle, trouble shoot, and resolve recurring or occasional bottlenecks
Effectively communicate and support the claim payment goals, while providing quality customer service as well as actively pursue knowledge of skills and tools to be used in all claim payment efforts.
Provide notification for Payment made and perform acceptability analysis within threshold
Assist in claims management, Investigating pending claims
Identify and analyze risks associated with policies.
Create and modify procedures and documents related to policies.
Responsible for managing the insurance claims department composed of Examiners and Adjusters. Operates of one or more claims processing units, including the timely and proper disposition of claims in accordance with coverage amounts.
Respond to email /phone queries received from broker and other internal departments
Follow-up with various departments to get supporting documents/ info for dispute/deductions resolution
See opportunities and recommend solutions for process and automation enhancements
Work as a teammate to process any adhoc request in a timely manner.
Deliver quality customer service by researching and responding to all internal & external partners inquiries quickly, effectively and professionally.
Intensify problems to senior staff members and or management as appropriate.
Ability to work on the MS excel, MIS work for reporting purpose, Good excel skills.
Ability to work on the MS power-point presentation , can prepare dashboards, Good power point skills

Minimum Qualifications

B.Com/BBA/MBA/B.Sc.
Fluent in English language- both written and oral

Preferred Qualifications

Prior Claims /Insurance experience

About Company

Genpact is a global professional services firm that offers a wide range of digital transformation services and solutions. With a presence in over 30 countries, Genpact leverages its deep domain expertise in operations and analytics to help businesses transform their operations, improve efficiency, and enhance customer experience. The company combines digital technology, data science, and operational excellence to deliver business outcomes across various industries, including banking, insurance, manufacturing, and healthcare. Founded in 1997 as a subsidiary of GE, Genpact has grown into an independent, NYSE-listed company with a diverse workforce of over 90,000 employees globally.