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Process Developer : Travel Claims Assistance


Genpact


Location

Noida | India


Job description

Process Developer : Travel Claims Assistance - INS022359

With a startup spirit and 115,000+ curious and courageous minds, we have the expertise to go deep with the world’s biggest brands—and we have fun doing it. We dream in digital, dare in reality, and reinvent the ways companies work to make an impact far bigger than just our bottom line. We’re harnessing the power of technology and humanity to create meaningful transformation that moves us forward in our pursuit of a world that works better for people. Now, we’re calling upon the thinkers and doers, those with a natural curiosity and a hunger to keep learning, keep growing., People who thrive on fearlessly experimenting, seizing opportunities, and pushing boundaries to turn our vision into reality. And as you help us create a better world, we will help you build your own intellectual firepower. Welcome to the relentless pursuit of better.

Inviting applications for the role of Travel Claims Assistance, Process Developer

Responsibilities

· Examine travel documents, medical treatment records, medical bills, etc. to determine claim denial, settlement, or review

· Compare data on the claim form with the protection plan to ascertain the completeness and validity of the claim

· Examines claim form and other records to confirm coverage

· Proactively works to resolve the claim as expeditiously as possible

· Reviews and analyzes detailed medical records

· Calculates reimbursement of benefits according to the schedule of coverage

· Accurately interpret and compile information from a variety of sources and systems

· Incrementally increase productivity without jeopardizing quality.

· Provide recommendation post assessing a claim for payment, denial or incomplete information

· Ability to work in ambiguous situations, to be able to join the dots while evaluating a claim, if required be proactive in searching the web for obtaining more clarity on claims information e.g., medical terms, conditions, etc.

· Handle varied volumes of workloads and reach targets and deadlines on a timely basis

· Comprehension, decision making, multi-tasking, strong written communication and customer service skill/attitude to clearly articulate the resolution

· Responsible for handling varied volumes of workloads and reaching targets and deadlines on a timely basis

· Works on special projects and tasks as assigned

· Ensure that turnaround time and quality of the work meets Company service standards

· Display energy and enthusiasm in approaching the job

· Other duties as assigned

Qualifications

Minimum qualifications / skills

· Relevant work experience in US Travel claims processing

· Any graduate except technical

Preferred qualifications/skills

· US Travel claim Insurance experience preferred

· Medical claim specialists/examiner experience preferred

· Reviews and analyses detailed medical records for accuracy and completeness

· Good knowledge of US travel claims processing/travel industry for experienced candidates & responsible for handling travel claims of Medical Treatment/hospitalization, Trip Cancellation, Baggage/Personal Items loss etc.

· Writes clearly, concisely, and effectively

· Computer literate

· Good comprehensive and decision-making skills

· Proficient in the English language – both written and verbal

· Detail-oriented

· Ability to multi-task. Manages time effectively


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