Job Description

:
Key Responsibilities:
Ensure that the process transactions are processed as per Desktop procedures.
Ensure that the assigned targets are met in accordance with SLA and Internal standards.
Create and review Excel based trackers, review bills and claims, contacting claim handler.
Review and research correct claim number to attached documents.
File Copy pull documents from various claim systems and share with adjusters.
Manage complex claims processing functions, including process, and bill review.
Utilize related systems and technology proficiently to streamline processes.
Evaluate the impact of new releases, procedures, and suggestions.
Identify and address system errors, program malfunctions, workflow inefficiencies, or processing improvements by liaising with team leaders or supervisors.
Assist quality auditors as required and undertake additional responsibilities as assigned. * Communicate with handler for any clarification/authorization, if required
Skills
Technical Skills

• Good computer navigation skills
• Good keyboarding speed (25 W.P.M.)
• Good knowledge of the complete MS Office suite specially Excel

Process Specific Skills

• Knowledge of US P&C insurance
• Knowledge of US P&C claims

Soft skills (Minimum)

• Communication skills (English) Should be able to speak, read, interpret business documents & write business emails.
• Escalate issues if required.
• Teamwork/ Managing Self / Adaptability
• Ability to work successfully in a production driven environment.
• Adaptability to change.
• Ability to work on routine/standardized transactions

Soft Skills (Desired)

• Self-disciplined and result oriented.
• Ability to multitask.
• Ability to work effectively as part of a team.
• Open to work extra time as per business requirements.

Education Requirements
Graduation or diploma from a college or university with a minimum of fifteen (15) years of education
Work Experience Requirements

• Minimum Eighteen months of work experience in a related field is required.
• Experience in BPO US P&C Insurance industry.
• Experience in BPO specifically in US P&C Claims