Claims Reviewer (Health/Life Insurance) professional

Job Summary

Unique opportunity at Principal Financial Group, we provide an outstanding opportunity for a motivated Claims Reviewer to join our Hyderabad office.

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.

Qualifications

• A Bachelors 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.
• 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.

Disclaimer: This job description has been sourced from a public domain and may have been modified by Naukri.com to improve clarity for our users. We encourage job seekers to verify all details directly with the employer via their official channels before applying.