Claim Administration

Overview

Provide administration support to RGA's operational areas with a strong focus on claims processes, coordinating and supporting the Senior Operations Analyst in day-to-day department operations.

What you'll do

• Triage claims in the Claims system and allocate cases to the team for evaluation on the same day
• Ensure all data entry is accurate and correct
• Update the Referral sheet accurately and in a timely manner
• Ensure the integrity of the claims department through accurate and timely processing of data
• Ensure the integrity of claims data is maintained and all data validations are completed as planned
• Ensure data mappings for the applicable portfolio are maintained and up to date
• Ensure audit actions for the applicable portfolio are followed up and actioned within the allocated timeframe
• Reconcile decisions entered in the Claims database to ensure accuracy of reporting
• Highlight and ensure no long-pending cases, with regular follow-ups with clients
• Maintain agreed service standards
• Provide reporting and analysis as required
• Share daily, weekly, monthly and yearly reports as required
• Document and follow administration procedures

What you'll need

• Bachelor's Degree or equivalent experience in insurance, reinsurance or financial services
• Freshers with a Pharma or medical background can also apply
• Previous Life Claims Administration experience

Nice to have

• Highly organized and delivery-oriented, with the ability to proactively manage stakeholder expectations
• Good communication skills
• High level of attention to detail with analytical ability
• Intermediate MS Excel skills and exposure to MS Access
• Highly motivated, results-oriented and solutions-focused
• Innovative, proactive and improvement-oriented
• Strong client service focus
• Ability to work effectively under pressure
• Curious mindset and willingness to challenge the status quo

Details

• Location: Mumbai, India