Overview
Independently manage retiree benefit administration for Group Retiree clients and participants, including record maintenance, enrollments, coverage changes, claims registration and case management, ensuring accuracy, compliance and timely completion within service levels.
What you'll do
- Create and maintain retiree and dependent records in approved administration systems based on authorized client or participant information.
- Process retiree demographic updates, including additions, address changes, dependent changes and other approved record corrections.
- Process enrollment and election activity, administrative life events, newly retired transactions, coverage changes and terminations in line with documented rules and effective dates.
- Validate participant, plan, coverage, eligibility and effective-date information before completing transactions or submitting work for approval.
- Maintain clear case notes and an accurate audit trail for every transaction.
- Own assigned administration cases, service requests and claim-registration activities from receipt through closure within agreed service levels.
- Monitor assigned queues and aged inventory, including daily review of 1F and other designated cases, and take action to prevent backlog accumulation.
- Investigate routine discrepancies, identify missing or inconsistent information, complete permitted corrections and route complex matters to the appropriate owner.
- Provide timely status updates, document blockers and follow through until resolution.
- Support operational recovery plans and priority work during peak periods, system cutovers and open enrollment.
- Prepare, review and complete weekly discrepancy reports within committed timelines.
- Perform checks for completeness, accuracy, duplicate activity, effective dates and alignment with client requirements and SOPs.
- Complete peer review or maker-checker controls where required and respond promptly to quality feedback.
- Protect confidential participant and client information and follow applicable privacy, security, access and records-management requirements.
- Escalate data issues, system defects, recurring errors, SLA risks and control gaps with supporting evidence.
- Coordinate with US and India Group Retiree teams, Client Account Consultants, benefit counselors, configuration, billing, carrier-file and technology partners to resolve dependencies.
- Attend huddles, calibration sessions, product or process meetings, and provide concise updates on volumes, ageing, risks and next actions.
- Follow approved SOPs, knowledge articles, client documentation and version-control practices; help keep procedures current when processes change.
- Identify repeat issues and practical opportunities to improve accuracy, turnaround time, controls and participant service.
- Participate in small improvement initiatives, testing, knowledge-transfer and cross-training activities.
- Support new client, renewal and open-enrollment readiness activities assigned to administration, including validation of participant impacts and completion of required administrative updates.
- Provide day-to-day guidance to newer colleagues on documented processes without assuming formal people-management accountability.
- Work in Javelina, My Benefits / HEF, ServiceNow and other approved case, workflow, reporting or client repositories; use Microsoft Excel for reconciliations, trackers and operational reporting; use Word, PowerPoint, Outlook and Teams.
What you'll need
- Minimum 3.5 years of overall relevant experience, preferably in US health, benefits administration, insurance operations or a comparable regulated service environment.
- Demonstrated experience independently processing operational transactions, resolving cases and meeting quality and service-level expectations.
- Working knowledge of US health and retiree benefits administration, including eligibility, enrollment, demographic maintenance and participant servicing.
- Ability to interpret client requirements, SOPs, plan rules and effective-date logic and apply them consistently.
- Strong attention to detail, analytical thinking and problem-solving capability.
- Clear written and verbal communication, with the confidence to ask focused questions and escalate risks early.
- Ability to prioritize multiple work items, meet deadlines and maintain quality in a high-volume environment.
- Intermediate Microsoft Excel, Word and PowerPoint skills.
- Collaborative, accountable, adaptable and comfortable working across time zones and shifts.
- Internal applicants should meet the organization's current mobility, conduct and performance eligibility requirements.
Details
- Location: Gurgaon, India.
- Flexibility to work in shifts based on business and client requirements.
Read the full description and apply on the company’s own careers page.