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Job Description:

Job Description – Disability Claims Processing

Role Description

Person would be responsible for Indexing and Claims. Ability to understand Claims receipts and Index accurately followed by Accurate Claims setup and adjudication is required. Process may involve Indexing and Claims to be done separately by different pool of associates

Education/ExperienceMinimum – Graduate1-2 years of customer service experience in International BPOs (non-voice)Candidates to have worked in a previous North American Insurance company with Healthcare knowledge/ experience1-2 years of industry experience (annuity, mutual funds, banking, or insurance) preferably in Claims adjudication

Skills/Knowledge Good written and verbal communication skills—Ability to understand conventional English names is critical Good mathematical aptitude Good commitment to customer service and quality Good research and follow-up skillsTyping skills of 25-30 words per minute Proven ability to work independently and in a team environment Ability to comprehend French documents is desirable

Responsibilities

Processes customer claims in a timely and accurate mannerMeets established quality control measuresMeets individual productivity requirementsCommunicates with customers through written and oral correspondenceProvides follow up on requests that cannot be immediately resolvedBuilds relationships with staff from other departments to ensure queries are responded to in a timely mannerEscalates issues to management when neededWorks with management to set daily priorities to ensure prompt and efficient serviceMaintains flexibility in a high speed, demanding team environmentIdentifies process improvements to increase efficiencies and streamline processesActively participates in departmental team meetings and other open forumsAssists with department projects and initiatives as neededSoliciting and compiling information and data related to processing activitiesUsing PC application and functions such as Excel and Word to update and load data setsWorking with mainframe applications and Electronic Response MessagingCreating and monitoring the processing checklists and calendarsMeeting and exceeding client defined service level metrics on timeliness and accuracy

Job Competencies

Please list 4-6 job competencies that can be used to identify behavioral-based interview questions.

·  Rule based decision making ability

·  Accurate Data entry skills

·  Good typing skills/speed

·  Familiarity with review of Imaged documents – Can interpret/understand various formats

Job Category:

Customer Service / Operations

Posting End Date:

30/10/2025