Executive-Back Office-Customer Service

1 - 4 years

1 - 2 Lacs

Noida

Posted:1 day ago| Platform: Naukri logo

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Work from Office

Job Type

Full Time

Job Description


Roles and Responsibilities


  • Review kickouts/errors enrollment files where information is incomplete, missing or incorrect to be updated in client application.

  • Manage task assignments through client software in the form of kickouts-system generate errors arising from incorrect processing, incomplete data submission or incorrect data conversion by the group software.

  • Compile and analyze a comprehensive summary of errors for each group referred to as Group File Summary (GFS), to gain clarity on the nature and extent of processing discrepancy.

  • Retrieve real-time data submitted by Groups, Brokers, or Aggregators from derived source and methodically reconcile it with the information captured.

  • Evaluate discrepancies between submitted data and internal records. Perform validation, correction, and system updates to ensure data accuracy and consistency across platforms.

  • Based on the verified data, corrective action taken, submit final decision/s through client software, maintaining a high standard of precision and error free reporting.

  • Identify and escalate major discrepancies-those exceeding pre-defined thresholds or requiring additional review by preparing clear and concise communication and addressing them through structured email exchange with the client.

  • Provides customer service to internal/external stakeholders, demonstrates flexibility and responsiveness to
    meet customer needs on routine work independently

  • Reviews and provides specific information to questions/concerns from internal/external stakeholders by applying core knowledge obtained for the role

  • Reviews and enters all member level eligibility information into the appropriate system(s) including changes, additions and deletions

  • Processes all member changes affecting billing including age change reductions, COBRA administration and terminations

  • Maintains accurate member records by verifying dates, names, salary figures and other information provided
    by groups


Graduate with minimum 1 year experience in Insurance domain


Roles and Responsibilities


  • Review kickouts/errors enrollment files where information is incomplete, missing or incorrect to be updated in client application.

  • Manage task assignments through client software in the form of kickouts-system generate errors arising from incorrect processing, incomplete data submission or incorrect data conversion by the group software.

  • Compile and analyze a comprehensive summary of errors for each group referred to as Group File Summary (GFS), to gain clarity on the nature and extent of processing discrepancy.

  • Retrieve real-time data submitted by Groups, Brokers, or Aggregators from derived source and methodically reconcile it with the information captured.

  • Evaluate discrepancies between submitted data and internal records. Perform validation, correction, and system updates to ensure data accuracy and consistency across platforms.

  • Based on the verified data, corrective action taken, submit final decision/s through client software, maintaining a high standard of precision and error free reporting.

  • Identify and escalate major discrepancies-those exceeding pre-defined thresholds or requiring additional review by preparing clear and concise communication and addressing them through structured email exchange with the client.

  • Provides customer service to internal/external stakeholders, demonstrates flexibility and responsiveness to
    meet customer needs on routine work independently

  • Reviews and provides specific information to questions/concerns from internal/external stakeholders by applying core knowledge obtained for the role

  • Reviews and enters all member level eligibility information into the appropriate system(s) including changes, additions and deletions

  • Processes all member changes affecting billing including age change reductions, COBRA administration and terminations

  • Maintains accurate member records by verifying dates, names, salary figures and other information provided
    by groups


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