Process Developer - Disability Claims

Job Description

In this role, you will be responsible for processing claims of individuals with policies for employee benefit product- short term disability and long-term disability.

• Qualitative review of the documents received for completion and gather additional requirements
• Follow up on requirements via e mail and send correspondence
• Check for Initial eligibility
• Complete Initial claim review
• Capture the claim information on data base and workflow systems
• Calculation of the Benefit payout period and payout
• Take decision on claims (pregnancy and simple claims)
• Generate correspondence as needed. i.e., follow-up letters.
• Meet individual goals for claims assigned and meet the expected service levels as defined, etc.
• Ability to accurately interpret and compile information from a variety of sources and systems
• Ensure that turnaround time and quality of the work meets Company service standards
• Get along with Onshore /Offshore and customer in a supportive and professional manner via email and on calls

Qualifications: Minimum qualifications

• Graduation in any stream except BBA, MBA, B.Tech, M.Tech and Technical Graduation & Law
• Proven Claims backend operations experience for Group Disability or Employee Benefit or Worker Compensation or Claim management or Overpayment recovery or Absence management
• Good English Communication (Both written & verbal)
• Proactive communication & High analytical skills - ability to foresee issues and suggest solutions, with impactful data
• Display energy and passion in approaching the job!
• Decision making capability!
• Ability to work under pressure and meet deadlines, while maintaining a positive attitude and providing outstanding customer service
• Good in MS Excel
• Should be able to do MIS reporting / report outs

• Experience in Group/ Individual Disability Insurance /Employee benefit/ Workers Compensation/ Life/ Health and/or LTC
• Insurance qualification/certifications will be an added advantage
• Maintain key records like working files, email for reference and audit purpose

Genpact is committed to creating a dynamic work environment that values diversity and inclusion, respect and integrity, customer focus, and innovation. Get to know us at www.genpact.com and on X, Facebook, LinkedIn, and YouTube.

Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a %27starter kit,%27 paying to apply, or purchasing equipment or training.