Health and Dental Insurance Claims-Process Associate
- Genpact
- 0 - 4 years
- Noida, Gurugram
- 17 days ago
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Job Description
Ready to shape the future of work?
At Genpact, we dont just adapt to changewe drive it. AI and digital innovation are redefining industries, and were leading the charge. Genpacts AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges.
If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team thats shaping the future, this is your moment.
Genpact (NYSE: G) is an advanced technology services and solutions company that delivers lasting value for leading enterprises globally. Through our deep business knowledge, operational excellence, and cutting-edge solutions we help companies across industries get ahead and stay ahead. Powered by curiosity, courage, and innovation, our teams implement data, technology, and AI to create tomorrow, today. Get to know us at genpact.com and on LinkedIn, X, YouTube, and Facebook.
We are inviting applications for the role ofProcess Associate/ Process Developer Health and Dental Insurance Claims
Work mode-Work from office
In this role, you will be responsible for the function of the position, which is to transcribe inventories into Excel sheets while researching the Like, Kind, Quality of replacements and the understanding of product categories in a time sensitive manner. This position is responsible for accuracy, efficiency and retrieval of processed data.
Responsibilities
Transaction processing for Health and Dental Insurance Claims process
Transaction processing for Claims Support Teams.
Client interactions via training, conference calls, emails etc.
Manage MIS activities and data collation
Work towards driving process improvements and initiatives
Validating the medical records / invoices and reviewing the medical history
Manage all aspects of the claim process
Adjudicate non-complex claims according to established guidelines and standards as well as state legislation
Determine appropriate requirements
Analyze and interpret claim documentation, policy contract wording and in-force policy documentation to establish whether the claim is complete and valid, correct death benefit and correct beneficiary
Make claim decisions within approval limits
Make disbursements on valid claims to the correct beneficiary for the correct claim amount
Communicate and collaborate with the field and head office colleagues to provide the highest quality and service levels to customers
Handle other issues or requirements related to the claim such as check stop pay and reissue
Ability to adapt to changing regulatory requirements affecting claim practices and apply new approaches
Specifically, claims and endowments; annual due diligence address cleanse, process pre-escheatment claim payments
Process accounting as required Assist in identifying and providing solutions to work related problems and issues (ie. work flow, systems)
Communicate with claimants or their legal representatives as required
Comply with complex state legislative requirements in terms of claims practices and report any fraudulent activities to the appropriate sources
Comply with departmental procedures
Actively participate in claims department projects that improve effectiveness and efficiency.
Minimum qualifications
- Any Graduate except Technical
- Insurance domain certification will be an added advantage
Preferred qualifications
- Claims processing knowledge with Insurance Domain awareness
- Good Communication Skills
- Good working knowledge of MS Office
Why join Genpact?
Be a transformation leader Work at the cutting edge of AI, automation, and digital innovation
Make an impact Drive change for global enterprises and solve business challenges that matter
Accelerate your career Get hands-on experience, mentorship, and continuous learning opportunities
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 tech shapers and growth makers at Genpact and take your career in the only direction that matters: Up.
Lets 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 jobapplicationsand applicantsare not required topay toparticipatein our hiring process in any other way. Examples of suchscamsincludepurchasinga 'starter kit,' paying to apply, orpurchasingequipment or training.
Job Classification
Industry: BPM / BPOFunctional Area / Department: BFSI, Investments & TradingRole Category: Life InsuranceRole: Life Insurance - OtherEmployement Type: Full timeContact Details:
Company: GenpactLocation(s): Noida, Gurugram
Keyskills: Health Insurance Insurance Claims Claims claims support Medical Insurance Claims Handling Health Claims dental claims Mediclaim dental Insurance Claim Settlement Claims Processing
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