Process Analyst - Claims

Introduction
Spartan Technology Services and Solutions Private Limited is a subsidiary of IBM (International Business Machines) Corporation. IBM is a global brand and has its presence in 170 countries and operates through multiple locations across globe.
Spartan Technology Services and Solutions Private Limited is an integral part of IBM Business Process Operations and is providing end to end services covering policy renewal, query resolution using TPA services to its clients in the Insurance industry while ensuring best in class quality for their clients and communities. The group has dedicated compliance experts focused on ensuring data security across all transaction and aspects of an organization.

Your Role and Responsibilities

• Processing of Life and Annuity Insurance claims processing
• Handling claims investigation, processing and payments. Determines actions to be taken on claim (e.g. pay, decline, request for additional documents)
• Claims document validation, calculating benefit amount and releasing same to beneficiary
• Work well with Onshore /Offshore and customer in an encouraging and professional manner via email and on calls
• Meet productivity and quality targets on a daily, weekly, and monthly basis
• Render overtime whenever requested by the Supervisor including rest day
• Use expertise to evaluate the work of others and assist in process calibration
• Facilitate team huddles and teach-back sessions as scheduled
• Complete certification on identified process and developmental training
• Participate in functional and company-wide activities.
• Adheres to company policy, guidelines, house rules including attendance, clean desk, dress-code, etc.
• Experience Required- 2-3 years

Required Technical and Professional Expertise

• Life/Annuities product experience in policy admin
• Good English Communication (Both written & verbal)
• Proactive communication & High analytical skills – should be able to foresee issues and suggest solutions, with impactful data
• Displays energy and enthusiasm in approaching the job
• Ability to work under pressure and meet deadlines, while maintaining a positive attitude and providing outstanding customer service
• Ready to work on stretched working hours
• Ability to independently work well with internal and external customers
• Customer service focus
• Basic Computer knowledge along with typing speed of 35 words/minute
• Insurance knowledge
• Ability to multi-task and can easily learn and adapt with changes in a fast-paced environment

Preferred Technical and Professional Expertise

• Graduation in any stream except B.Tech and Technical Graduation & Law