Claims Management Senior Analyst

5 - 8 years

7.0 - 10.0 Lacs P.A.

Navi Mumbai

Posted:3 months ago| Platform: Naukri logo

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Skills Required

reinsuranceclaims processingunderwritingclaims managementclaimsrisk managementhealth insurancehipaaback office operationsus healthcareclaims adjudicationclaim paymentdenial managementmedical billingrevenue cycle management

Work Mode

Work from Office

Job Type

Full Time

Job Description

Skill required: Reinsurance - Collections Processing Designation: Claims Management Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Canceling and rewriting insurance policies and endorsementsThe Collections Operations team focuses on managing collections and disputes such as debt collection, reporting on aged debt, bad debt provisioning, trade promotions, and outperform cash reconciliations. The team is responsible for follow up for missing remittances, prepare refund package with accuracy and supply to clients, record all collections activities in a consistent manner as per client process (tool), delivery of process requirements to achieve key performance targets, and ensure compliance to internal controls, standards, and regulations. What are we looking for? Ability to perform under pressure Problem-solving skills Written and verbal communication Commitment to quality Agility for quick learningKnowledge of German Language would be an added advantage. Roles and Responsibilities: In this role you are required to do analysis and solving of increasingly complex problems Your day to day interactions are with peers within Accenture You are likely to have some interaction with clients and/or Accenture management You will be given minimal instruction on daily work/tasks and a moderate level of instruction on new assignments Decisions that are made by you impact your own work and may impact the work of others In this role you would be an individual contributor and/or oversee a small work effort and/or team Please note that this role may require you to work in rotational shifts Roles & Responsibilities Analyze and process various treaty and facultative premiums statements in the system Ensure cash call refunds are booked on time Maintain adequate trackers for all aspects of SOAs are maintained Analyze and process various types of claims in the system Analyze, Process and track large losses Ensure payment transactions are revied and cash is allocated in timely manner Ensure adequate follow ups are done to ensure to keep unallocated cash to the minimal Ensure outstanding balances are tracked, followed up and reported periodically to the stakeholders. Liaise and work with various stake holders to ensure all queries are addressed on time Initiate process improvements through automation and assist in implementing the same. Actively participate in knowledge sharing and training Taking ownership and be accountable for activities performed Actively get involved in cross departmental activities and show eagerness to learn all activities. Qualifications Any Graduation

Professional Services
Dublin

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