Associate- Claims Operations Job in Gurgaon at Alight Solutions

Responsibilities of the Candidate:

• Handling claims related to FMLA, disability (STD/LTD), parental leave, personal leave, and other applicable programs.
• Taking a decision on leaves, resulting in either approval, denial or extension of the leaves.
• Managing and processing employee leave claims in compliance with federal, state, and company policies.
• Articulate complex client plans and provisions in a simplified and understandable manner to take an informed decision meeting client SLA’s.
• Maintain internal & client defined quality scores.
• Consistently meet or exceed KPIs.
• Ensuring proper documentation and follow-ups in accordance with SOPs.
• Identifying issues, process delays, and quality problems and recommending and implementing solutions.
• Execute Issue/Query/ Workflow Resolution
• Ongoing client delivery of quality service /audits & First level quality check.
• Consistently applying logical reasoning and critical thinking skills.
• Ability to work in a fast-paced environment with short deadlines.
• Take complete ownership of self-learning & development

Requirements:

• Bachelor’s degree in BCom, B.A, BBA (Full time MBA/MCA/B Tech/BE/B Ed candidates will not be considered).
• 2-5 years of work experience in Insurance Claims/Leave claims and Backend Operations (International Voice /Non-Voice/Blended process)
• Outstanding customer service skills
• Excellent verbal and written communication skills.
• Basic computer knowledge (MS-Office, Excel)
• Good analytical skills & attention to detail.
• Ability to work evening/night shifts