Life Insurance Claims Specialist - Remote & Data-Driven

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

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.