
Process Expert - Claims Adjudicator
- Gurgaon, Haryana
- Permanent
- Full-time
- Insurance. Life, health, wellness, disability, critical illness, stop-loss, and long-term care insurance.
- Investments. Mutual funds, segregated funds, annuities, and guaranteed investment products
- Advice. Financial planning and retirement planning services
- Asset management. Pooled funds, institutional portfolios, and pension funds
- Good written and verbal communication skills
- Good commitment to customer service and quality
- Good research and follow-up skills
- Typing skills of 25-30 words per minute
- Proven ability to work independently and in a team environment.
- High level of attention to detail to reduce risk of error with complex work, strong logic, problem solving
- knowledge & understanding of Group/Individual Insurance Products
- Processes customer requests in a timely and accurate manner
- Meets established quality control measures.
- Meets individual productivity requirements.
- Communicates with customers through written and oral correspondence
- Provides follow up on requests that cannot be immediately resolved.
- Build relationships with staff from other departments to ensure queries are responded to in a timely manner.
- Escalates issues to management when needed.
- Works with management to set daily priorities to ensure prompt and efficient service.
- Maintains flexibility in a high speed, demanding team environment.
- Identifies process improvements to increase efficiencies and streamline processes.
- Actively participates in departmental team meetings and other open forums.
- Assists with department projects and initiatives as needed.
- Soliciting and compiling information and data related to processing activities.
- Using PC applications and functions such as Excel and Word to update and load data sets.
- Working with mainframe/CSW/Valet, Ingenium applications
- Creating and monitoring the Process Notes
- Meeting and exceeding client defined service level metrics on timeliness and accuracy