Process Developer, Claims Admin!

Process Developer, Claims Admin!- INS024503

Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose – the relentless pursuit of a world that works better for people – we serve and transform leading enterprises, including the Fortune Global 500, with our deep business and industry knowledge, digital operations services, and expertise in data, technology, and AI. Inviting applications for the role of Process Developer, Claims Admin!
The Travel Claims Specialist will be responsible for managing and processing travel insurance claims from initiation to resolution (Triaging/Indexing/FNOL/Pre-Post Adjudication/ Adjudication/ Payments etc.)
This role involves evaluating claims, ensuring compliance with policy terms, and providing excellent customer service to our clients.
Responsibilities
•    Assisting customer/members to lodge claims and guiding them throughout the process.
•    Registration of claims both through the online system and emails
•    Completion of claims inboxes and responding to customers enquiries via email/phones.
•    Taking immediate action when confronted with a medical emergency or made aware of a situation such as vulnerable, financial hardship etc.
•    Taking ownership of each customer contact to resolve customer issues and connect them with claim assessors when appropriate.
•    Resolving issues without or with limited management interventions.
•    Providing claim status information, benefit coverage interpretations, and explaining policy inclusions and exclusions.
•    Understanding the customer, including circumstances, problems, needs & expectations.
•    Lodging and maintaining incidents as per defined SOPs.
•    Review and process travel insurance claims in a timely and accurate manner.
•    Calculation of SAL (Single Article Limit)
•    Validating Excess and calculation of Final amount
•    Handling of Travel Curtailments
•    Handling of Cancellation & disruption 
•    Identification of Recovery (if any)
•    Evaluate claims documentation to determine eligibility and coverage.
•    Communicate with claimants, medical providers, and other relevant parties to gather necessary information and clarify details.
•    Ensure all claims are processed in compliance with company policies, procedures, and regulatory requirements.
•    Maintain detailed records of all claims and interactions.
•    Provide clear and empathetic communication to clients regarding the status of their claims.
•    Identify and investigate potential fraudulent claims.
•    Collaborate with other departments to resolve complex claims issues.
•    Stay informed about industry trends, policy changes, and regulatory updates.

Qualifications we seek in you!
Minimum Qualifications / Skills
•    Graduation in any stream except B.Tech and Technical Graduation & Law

Preferred Qualifications/ Skills
•    Excellent verbal and written communication skills
•    Good analytical and problem-solving skills
•    Basic Knowledge of Insurance and Claims is preferred.