Executive

• Job Role: Back Office-Claims Administration
• Experience (In Years): 0-3

• Review and adjudicate insurance claims/applications based on defined business rules and policy guidelines.
• Analyze supporting documents and validate information for completeness and accuracy.
• Identify discrepancies and escalate complex cases as required.
• Ensure compliance with company policies, client requirements, and regulatory standards.
• Maintain productivity, accuracy, and turnaround time targets.
• Document decisions and update relevant systems accurately.
• Participate in quality reviews and implement feedback for continuous improvement.
• Collaborate with internal stakeholders to resolve processing issues and improve customer experience.
• Support process improvement initiatives and knowledge-sharing activities.

Responsibilities

• Review and adjudicate insurance claims/applications based on defined business rules and policy guidelines.
• Analyze supporting documents and validate information for completeness and accuracy.
• Identify discrepancies and escalate complex cases as required.
• Ensure compliance with company policies, client requirements, and regulatory standards.
• Maintain productivity, accuracy, and turnaround time targets.
• Document decisions and update relevant systems accurately.
• Participate in quality reviews and implement feedback for continuous improvement.
• Collaborate with internal stakeholders to resolve processing issues and improve customer experience.
• Support process improvement initiatives and knowledge-sharing activities.

Qualifications

Graduate