[Hiring] Associate - Insurance - Life @BrightClaim

Role Description

Ready to turn bold ideas into real-world impact? At Genpact, we don’t just adapt to change, we lead it. AI and digital innovation are transforming the way businesses work, and we’re at the forefront of it.

Genpact’s AI Gigafactory, our industry-first accelerator, exemplifies how we scale advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale.

If you thrive in a fast-moving, innovation-driven environment, love building and deploying cutting-edge AI solutions, and want to push the boundaries of what’s possible, this is your moment.

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 the claim evaluation process (quantitative review).
• Analyze medical records, employment history, and other pertinent information to make informed decisions (qualitative review).
• Communicate with claimants to provide updates on their claim status and request additional information when needed.
• Collaborate with healthcare providers, employers, and other stakeholders to ensure accurate and timely processing of claims.
• Maintain clear and professional communication with all parties involved in the claims process.
• Ensure all claim-related documents are accurately recorded and stored in the workflow systems for future reference.
• Prepare detailed reports and summaries of claims for internal review and decision-making purposes.
• 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.

Qualifications

• Bachelors - Actuarial Science
• Bachelors - Economics
• Bachelors - Finance
• Bachelors - Risk Management and Insurance
• Masters - Statistics

Requirements

• Certifications:
• Associate in Claims (AIC) - The Institutes (USA)
• Certified Financial Analyst (CFA) - Skillab
• Certified Fraud Examiner (CFE) - ACFE
• Chartered Property Casualty Underwriter (CPCU) - Insurance Institute of America (IIA)
• Fellow of the Institute of Actuaries (FIA) - Institute and Faculty of Actuaries (UK)
• Required Skills:
• Critical Thinking
• Fraud Management
• Insurance
• Life Insurance
• Quality Management
• Language: English (Required)
• Language Proficiency: English (OVERALL - Advanced - C1)
• Job Type: Regular
• Remote Type: Remote
• Work Shift: Day Job (United States of America)
• The approximate annual base compensation range for this position is: 31,200 to 39,000 USD
• “Los Angeles California-based candidates are not eligible for this role”

Benefits

• Lead AI-powered transformation – Drive innovation and solve real-world business challenges that matter
• Make an impact – Help global enterprises solve business challenges that matter
• Accelerate your career – Gain hands-on experience, mentorship, and world-class learning opportunities to stay ahead
• Work with the best – Join 140,000+ bold thinkers and problem-solvers who push boundaries every day
• Thrive in a values-driven culture – Our courage, curiosity, and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress

Company Description

Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws.

Genpact is committed to creating a dynamic work environment that values respect and integrity, customer focus, and innovation.

Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way.