AM-Claims

Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose - the relentless pursuit of a world that works better for people - we serve and transform leading enterprises, including the Fortune Global 500, with our deep business and industry knowledge, digital operations services, and expertise in data, technology, and AI.

We are inviting applications for the role of AM, Claims
In this role you will be responsible for adjust and authorize claim settlements and fees within designated individual authority limits. Provide a prompt and responsive service to clients and brokers and work closely with, whilst monitoring the performance of, external service providers and raise any issue which may occur to ensure data is accurate.
Responsibilities
Pharma Industry experience is preferred.
Hands-on experience in managing daily operation of Claims, Deductions or Dispute Management and knowledge of its upstream and downstream.
End to end knowledge of OTC and it s relation with Claims/Deductions.
Thorough knowledge of different type of Claims request.
Ability to identify important factors/causes associated with Claims/Deductions.
Ability to communicate technical problems to the appropriate IT staff for system functionality issues and resolution.
Identify and resolve Customer/Client Queries and build strategy to drive desired goal.
Provide RCA s and Controls for any miss in the defined process.
Identify issues attributing to account delinquency and discuss them with management.
Daily work-allocation & Day-end status reporting to all stakeholder
Deliver the required data for audit purposes.
Drive continuous improvement in key operational metrics through Six Sigma methodologies.
Ensure Key Metric s are met, and service is delivered to end users as expected.
Daily Quality check of volume processed by team.
Identify and resolve Customer/Client Queries and build strategy to drive desired goal.
Provide RCA s and Controls for any miss in the defined process.
Identify issues attributing to account delinquency and discuss them with management.
Ability to think strategically and take appropriate decisions.
Should be flexible with shift time and ready to work in 24x7 environments.
Ability to build customer relationship and drive confidence.
Should have good communication skills (Verbal & Written).
Should possess strong problem solving, critical and analytical decision-making skills.
Experience in preparing Standard Operating Procedures.
Ability to work independently and adapt to a fast-changing environment.
Should be able to work on strict timelines.
Proficiency in Microsoft Office including MS Excel, MS Word.
Must have attention to detail with an eye for accuracy.
Creative, self-disciplined and capable of identifying and completing critical tasks independently and with a sense of urgency.

Qualifications we seek in you
Minimum qualifications
Bachelor s Degree or equivalent formal education qualification
Preferred qualifications
Relevant related experience
Completion / progress towards recognized Industry qualification e.g. ACII
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 diversity and inclusion, respect and integrity, customer focus, and innovation. Get to know us at www.genpact.com and Facebook, LinkedIn, and YouTube.
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. Examples of such scams include purchasing a starter kit, paying to apply, or purchasing equipment or training.