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Associate /Analyst - Claims Operations

Associate /Analyst - Claims Operations

Alight

5 - 8 years

1 - 4 Lacs

Gurugram

Posted:3 weeks ago| Platform:

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Skills Required

Training Service level Excel Insurance claims Backend operations Workflow Customer service Customer Service Associate blended process International voice

Work Mode

Work from Office

Job Type

Full Time

Job Description

Handling claims related to FMLA, disability (STD/LTD), parental leave, personal leave, and other applicable programs. Taking a decision on leaves, resulting in either approval, denial or extension of the leaves. Managing and processing employee leave claims in compliance with federal, state, and company policies. Articulate complex client plans and provisions in a simplified and understandable manner to take an informed decision meeting client SLA s. Maintain internal & client defined quality scores. Consistently meet or exceed KPIs. Ensuring proper documentation and follow-ups in accordance with SOPs. Identifying issues, process delays, and quality problems and recommending and implementing solutions. Execute Issue/Query/ Workflow Resolution Ongoing client delivery of quality service /audits & First level quality check. Consistently applying logical reasoning and critical thinking skills. Ability to work in a fast-paced environment with short deadlines. Take complete ownership of self-learning & development Requirements Bachelor s degree in BCom, B.A, BBA (Full time MBA/MCA/B Tech/BE/B Ed candidates will not be considered). Associate Level hires: 2-5 years of work experience in Insurance Claims/Leave claims and Backend Operations (International Voice /Non-Voice/Blended process) Analyst Level hires: 5 - 8 years of work experience in Insurance Claims/Leave Claims and Backend Operations (International Voice/Non-Voice/Blended process) Outstanding customer service skills Excellent verbal and written communication skills. Basic computer knowledge (MS-Office, Excel) Good analytical skills & attention to detail. Ability to work evening/night shifts

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Associate /Analyst - Claims Operations

Experience & Salary

Skills Required

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Job Description

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