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Customer Service Representative-Customer Care Non-Voice-Back-End

Customer Service Representative-Customer Care Non-Voice-Back-End

EXL

0 - 3 years

3 - 6 Lacs

pune

Posted:4 days ago| Platform:

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Skills Required

customer service representative analytical skills insurance processing backend claims adjudication tax reporting customer service transaction processing management service operations

Work Mode

Work from Office

Job Type

Full Time

Job Description

As a claims adjudicator, you will be responsible for identifying, investigating, and evaluating critical information to accurately adjudicate claims
You will communicate with customers to explain claim filing requirements and handle inquiries across multiple product lines

Bachelor s Degree preferred, High School Diploma or GED or equivalent experience in financial institution operations, customer service, and/or annuity service operations Candidate preferred with transaction processing work experience in a similar environment in an Insurance process
However, candidate with no experience may be considered for the job

Your role includes documenting calls, completing follow-up work, and identifying potential risks such as fraud
You will analyze incoming documents to determine claim eligibility, calculate benefit amounts, and approve payments Additionally, you will resolve claims adjudication issues, manage calls with various stakeholders, ensure accurate tax reporting, and maintain detailed claim files Your responsibilities also include maintaining claim inventories within guidelines, processing death claims for life or annuity contracts, and meeting performance targets Strong analytical skills, attention to detail, and effective communication are essential You will work harmoniously within a team, handle multiple computer systems, and perform mathematical calculations The position requires availability for an 8hour shift between 8am to 8pm and offers the flexibility to work from home

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New York

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Customer Service Representative-Customer Care Non-Voice-Back-End