G

Genpact

Global professional services for data-driven operations

Associate - Insurance

Claims AdjudicationPosted on Nov 10
Full-timeTexas, USA$31.2k - $39k /yr

About the Job

Requirements

  • A Bachelor's degree in Actuarial Science, Economics, Finance, or Risk Management and Insurance, or a Master's degree in Statistics.
  • English proficiency at an advanced C1 level.
  • Required skills include critical thinking, fraud management, insurance, life insurance, and quality management.

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 quantitative claim evaluation.
  • Analyze medical records, employment history, and other pertinent information to make informed qualitative decisions.
  • Communicate with claimants about claim status and request additional information when needed.
  • Collaborate with healthcare providers, employers, and other stakeholders to ensure accurate and timely claims processing.
  • Maintain clear and professional communication with all parties involved in the claims process.
  • Accurately record and store claim-related documents in workflow systems for future reference.
  • Prepare detailed claims reports and summaries for internal review and decision-making.
  • 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.

Desired Qualifications

  • Certifications listed include Associate in Claims (AIC), Certified Financial Analyst (CFA), Certified Fraud Examiner (CFE), Chartered Property Casualty Underwriter (CPCU), and Fellow of the Institute of Actuaries (FIA).

About the Company

Genpact

Global professional services for data-driven operations

Genpact is a professional services firm that helps other companies transform their operations using data, analytics, and artificial intelligence. It started inside General Electric as a back-office unit and became an independent company in 2005, growing into a global business with a focus on digital transformation and AI-powered operations. Genpact's offerings include applying data and AI to automate and optimize business processes, supported by its Cora AI platform and strategic acquisitions like XponentL Data. It shifts from traditional outsourcing to building intelligent, autonomous operations for clients. The company aims to deliver measurable business impact by turning operational processes into data-driven, automated systems that improve efficiency and decision-making.

Company size
10,001+
Company stage
IPO
Headquarters
Amherst, New York
Founded
1997

Recently Posted Jobs

Explore more opportunities at Genpact

See more jobs