Process Developer - Disability Claims
Genpact
2 - 5 years
Gurugram
Posted: 3/5/2025
Job Description
Responsibilities
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
Ensure that turnaround time and quality of the work meets Company service standards
Get along with Onshore /Offshore and customer in a supportive and professional manner via email and on calls
Qualifications:
Minimum qualifications
Graduation in any stream except BBA, MBA, B.Tech, M.Tech and Technical Graduation & Law
Proven Claims backend operations experience for Group Disability or Employee Benefit or Worker Compensation or Claim management or Overpayment recovery or Absence management
Good English Communication (Both written & verbal)
Proactive communication & High analytical skills ability to foresee issues and suggest solutions, with impactful data
Display energy and passion in approaching the job!
Decision making capability!
Ability to work under pressure and meet deadlines, while maintaining a positive attitude and providing outstanding customer service
Good in MS Excel
Should be able to do MIS reporting / report outs
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
Maintain key records like working files, email for reference and audit purpose
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.
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