Claims Reviewer (Health/Life Insurance)

Principal-Global-Services; Pune District; Hybrid; INR 600,000 - 1,000,000; Full time

Job summary

Principal Financial Group in Pune, India, is hiring a Claims Reviewer to analyze details and determine actions for processing transactions. The role involves consulting documentation, collaborating with coworkers, and proposing procedural improvements.

Training starts with 5 days-per-week office work, followed by a hybrid work model after the ramp-up. The candidate should have a life sciences degree or equivalent, 2–3 years back-office experience, and familiarity with health, life, and

Qualifications

• Bachelor's degree in life sciences or equivalent experience preferred.
• Minimum of 2-3 years’ experience in back office.
• Experience in Claims processing of Health Insurance, Life and disability claims, or Underwriting.
• Good MS Office skills.
• Good written and verbal communication skills.

Responsibilities

• Analyze details to determine appropriate actions needed for processing transactions.
• Consult available resources including technical documentation, updates, computer system application features, co-workers, and mentors to perform daily tasks.
• Make suggestions for improvements in procedures/processes.
• Process work efficiently and effectively to meet or surpass production goals.
• Perform assigned tasks precisely to fulfill or surpass quality expectations, leading to enhanced client happiness and profitability for PFG.
• Improve personal efficiency to positively impact work, environment, and improvement of skills.
• Perform other job-related duties, processes within the BU, or special projects as assigned by outstanding supervisors. Prioritize workload to ensure financial, urgent, and rush requests are processed on time.
• Take ownership of individual production results to consistently achieve high results, contributing to department efficiency.
• Assist Trainer/Leader in analyzing error trends and conducting root cause analysis of defects.

Skills

MS Office

Attention to detail

Communication

Back-office operations

Education

Bachelor's degree in life sciences

Tools

MS Office Suite

Job description

What You'll Do

Responsibilities

As a Claims Reviewer, you will:

• Analyze details to determine appropriate actions needed for processing transactions.
• Consult available resources including technical documentation, updates, computer system application features, co-workers, and mentors to perform daily tasks.
• Make suggestions for improvements in procedures/processes.
• Process work efficiently and effectively to meet or surpass production goals.
• Perform assigned tasks precisely to fulfill or surpass quality expectations, leading to enhanced client happiness and profitability for PFG.
• Improve personal efficiency to positively impact work, environment, and improvement of skills.
• Perform other job-related duties, processes within the BU, or special projects as assigned by outstanding supervisors. Prioritize workload to ensure financial, urgent, and rush requests are processed on time.
• Take ownership of individual production results to consistently achieve high results, contributing to department efficiency.
• Assist Trainer/Leader in analyzing error trends and conducting root cause analysis of defects.

Shift Flexibility:
The role requires flexibility to work in rotational shifts, with shift schedules typically changing every quarter.

Shift Timings:

• Morning Shift: 6:00 AM to 3:00 PM IST (fixed timing)
• Night Shift: 5:30 PM to 2:30 AM IST or 6:30 PM to 3:30 AM IST

Training Period:

• Employees are required to work from the office 5 days a week during the training period.
• 1 month of classroom training.
• 2 months of ramp-up and on-the-job learning.

Post-Training Work Model:

• Upon successful completion of the training period (approximately 3 to 3.5 months), employees will transition to a hybrid work model.

Who You Are

Qualifications

To succeed in this role, you should have:

• A Bachelor's degree in life sciences or equivalent experience preferred.
• Minimum of 2-3 years’ experience in back office.
• Experience in Claims processing of Health Insurance, Life and disability claims, or Underwriting.
• Good MS Office skills.
• Good written and verbal communication skills.

If you are an ambitious individual with a proven background in finance or insurance and a passion for delivering world-class results, we want you on our team!

Why choose Principal Financial Group?

We are committed to encouraging an inclusive and collaborative work environment where your expertise is valued. At Principal Financial Group, you will have the opportunity to grow your career, work with dedicated professionals, and contribute to the seamless delivery of our operations. Join us to be a part of a company that competes at the highest level and is determined to succeed!