Associate - Insurance - Life 5A

3409 Genpact LLC; United States; Remote; USD 31,000 - 39,000; Full time

Job summary

Genpact Ltd. is seeking a Claims Analyst to review and assess employee benefit claims for eligibility based on policy terms. You will gather documentation, analyze medical records and employment history, and communicate updates to claimants.

The role emphasizes collaboration with healthcare providers and employers, maintaining accurate records, and generating detailed reports for internal review, while upholding data protection standards and industry regulations.

Qualifications

• Bachelor degrees in Actuarial Science, Economics, Finance, Risk Management and Insurance, or a Master’s in Statistics.
• Certifications: AIC (The Institutes, USA), CFA (SkillabSkillab), CFE (ACFE), CPCU (IIA), FIA (UK).
• Required Skills: Critical Thinking, Fraud Management, Insurance, Life Insurance, Quality Management.
• Language: English (Required); English proficiency - Advanced (C1).

Responsibilities

• Review and assess employee benefit claims to determine eligibility based on policy terms and conditions.
• Gather documentation from claimants, medical professionals, and others to support claim evaluation; perform quantitative and qualitative reviews.
• Collaborate with stakeholders to ensure accurate processing, maintain records, and prepare reports for decisions; ensure data protection and regulatory compliance.

Job description

Responsibilities

Review and assess employee benefit claims to determine eligibility based on policy terms and conditions. Gather necessary documentation from claimants, medical professionals, and other relevant sources to support the claim evaluation process (quantitative review). Analyze medical records, employment history, and other pertinent information to make informed decisions (qualitative review). Communicate with claimants to provide updates on their claim status and request additional information when needed.

Collaborate with healthcare providers, employers, and other stakeholders to ensure accurate and timely processing of claims. Maintain clear and professional communication with all parties involved in the claims process. Ensure all claim-related documents are accurately recorded and stored in the workflow systems for future reference. Prepare detailed reports and summaries of claims for internal review and decision-making purposes. Maintain confidentiality and adhere to data protection regulations when handling sensitive information. Ensure compliance with industry regulations, company policies, and legal requirements throughout the claims process. Conduct regular audits of claims files to ensure accuracy, completeness, and adherence to standards. Participate in training sessions to stay updated on changes in policies, procedures, and regulations.

Qualifications

Bachelors - Actuarial Science, Bachelors - Economics, Bachelors - Finance, Bachelors - Risk Management and Insurance, Masters - Statistics

Certifications: Associate in Claims (AIC) - The Institutes (USA) The Institutes (USA), Certified Financial Analyst (CFA) - SkillabSkillab, Certified Fraud Examiner (CFE) - ACFEACFE, Chartered Property Casualty Underwriter (CPCU) - Insurance Institute of America (IIA) Insurance Institute of America (IIA), Fellow of the Institute of Actuaries (FIA) - Institute and Faculty of Actuaries (UK) Institute and Faculty of Actuaries (UK)

Required Skills

Critical Thinking, Fraud Management, Insurance, Life Insurance, Quality Management

Language English (Required)

Language Proficiency - English (OVERALL - Advanced - C1)

Job Details

• Additional Job Location
• Job Type Regular
• Master Skill List - Insurance - Life
• Remote Type - Remote Work
• Shift - Day Job (United States of America)
• The approximate annual base compensation range for this position is: 31,200 to 39,000 USD

Los Angeles California-based candidates are not eligible for this role

Get to know us at genpact.com and on LinkedIn, YouTube, X, and Facebook.

Why join Genpact?

• Lead AI-powered transformation - Drive innovation and solve real-world business challenges that matter
• Make an impact - Help global enterprises solve business challenges that matter
• Accelerate your career - Gain hands-ons experience, mentorship, and world-class learning opportunities to stay ahead
• Work with the best - Join 140,000+ bold thinkers and problem-solvers who push boundaries every day
• Thrive in a values-driven culture - Our courage, curiosity, and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress

Come join the 140,000+ coders, tech shapers, and growth makers at Genpact and take your career in the only direction that matters: Up. Let’s build tomorrow together. Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values respect and integrity, customer focus, and innovation. Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a 'starter kit,' paying to apply, or purchasing equipment or training. We're an agentic and advanced technology solutions company that runs mission-critical operations for the world's leading companies, while building and deploying the agentic products and technology that power those operations. Our teams bring deep expertise to shape what AI can do and change how businesses actually run. Join us to build the career you want — and be on it because you'll be in it. At Genpact, your expertise grows because you're inside the work. Whether you build AI systems or bring deep knowledge of how businesses run, you'll work on real challenges that change how the world's leading companies operate. There's a lot to learn here, and room to grow. Genpact never asks applicants to pay to be part of our hiring process. If you get an email asking you to purchase a starter kit, equipment, or training, or pay to apply for a job, please assume this is a scam.