Job Description

- Claim Preparation Position Title: Sr. Associate Function, Responsibility Level: Operations, Sr. Associate Reports to (Responsibility Level): TL / AM / UM Supervises: NA Location: Jaipur Global Grade: GG08 Cost Center: TBD Complexity: T4C4 PID/s Load Mapping: TBD Position Summary Basic Function The process consists of Regional and National account Customers with Group Life claim preparation services. The key deliverables of the role will include but will not be restricted to the details below: Essential Functions Reviews notifications of death received from multiple sources such as electronic submissions from employers and third-party administrators, first notice of loss phone department, Claim Prep Mailbox, and electronic customer files to determine where and to whom claim kits are to be mailed. Review and maintain data in multiple systems such as retrieving beneficiary information, benefit amounts and enrollment history for the claim to be in good order. Evaluate deaths to ensure coverage is in effect at Date of Death and the correct beneficiary of record. Wok to resolve items not in good order associated with the claim as needed to allow for claim determination. Participate in regular cross training. Handle Electronic Death Match Cases from Initial Review to Claims Processing to ensure they handled appropriately within required SLAs. Performs other related duties as assigned or required by business need. Ability to multi-task and navigate multiple computer software programs simultaneously. Analyze, validate, identify discrepancies in claims and process transactions as per procedures. Must have attention to detail approach while working on the claims. Excellent communication skills required to interact with multiple departments at stateside and GOSC, basis requirement. Should have strong email comprehend skills & ability to provide resolutions on customer queries & Escalation. Should have claims product knowledge to manage claims preparation. Ability to work on routine/standardized transactions. Knowledge about the US Life Insurance industry ( Life insurance administration ) Ensure that receipts are processed within SLAs and Internal standards Knowledge, Skills, and Abilities Education Bachelor\'s degree (Any Stream) or diploma with a minimum of 15 years of education. (Candidates with B.Tech, MBA, BCA, or with any technical education would not be required) Experience 12-18 months of Customer Service / Call Center experience in voice or blended environment Preferred - Life insurance administration experience Knowledge and skills (general and technical) Computer navigation skills Keyboarding and data entry speed (minimum 30 wpm with 90% accuracy) Minimum knowledge of MS Excel and MS Word. Effective communicator / Speaks clearly & succinctly. Strong understanding and comprehension of the English language Knowledge about the US Insurance industry & US Culture Should be able to read, interpret business documents. Analytical and interpersonal skills Escalate issues if required. Data gathering ability/ Eye for detail. Teamwork/ Managing Self / Adaptability Ability to work successfully in production driven environment. Adaptability to change. Self-disciplined and result oriented. Ability to multitask. Ability to work effectively as part of a team Other Requirements (licenses, certifications, specialized training - if required) None

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