Claims Representative- GIH

Overview

Process EU insurance claims for individual, employer, group, and provider customers, performing claims duties under direct instruction and close supervision.

What you'll do

• Adjudicate international claims in accordance with policy terms and conditions.
• Monitor SLA times to ensure claims are settled within required time scales.
• Respond to all claim enquiries within set SLA, performing the necessary action as required and striving for first contact resolution where possible.
• Communicate effectively with internal and external stakeholders to deliver excellent customer outcomes.
• Identify potential process improvements and make recommendations to team senior.
• Actively support other team members and provide resource to enable all team goals to be achieved.
• Carry out other ad hoc tasks as required in meeting business needs.
• Work cohesively in a team environment.
• Adhere to policies and practices, training, and certification requirements.

What you'll need

• Working knowledge of the insurance industry and relevant federal and state regulations.
• Good English language communication skills, both verbal and written.
• Computer literate and proficient in MS Office.
• Excellent critical thinking and decision-making skills.
• Ability to meet/exceed targets and manage multiple priorities.
• Excellent attention to detail, with a high level of accuracy.
• Strong interpersonal skills.
• Strong customer focus with ability to identify and solve problems.
• Ability to work under own initiative and be proactive in recommending and implementing process improvements.
• Ability to organise, prioritise and manage workflow to meet individual and team requirements.
• Graduate (any) in medical, paramedical, commerce, statistics, mathematics, economics or science.
• Minimum 2 years and up to 4 years of experience in processing global healthcare insurance claims.
• Expertise in EU insurance claims processing.

Nice to have

• Experience in medical administration, claims environment or contact centre environment.

Details

• Location: Bengaluru (Bangalore), India.
• Work timings: 1:00-10:00 PM IST.