Associate /Analyst - Claims Operations
- Alight
- 5 - 8 years
- Noida, Gurugram
- 1 month ago
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Job Description
- 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
- Bachelor s degree in BCom, B.A, BBA (Full time MBA/MCA/B Tech/BE/B Ed candidates will not be considered).
- Associate Level hires: 2-5 years of work experience in Insurance Claims/Leave claims and Backend Operations (International Voice /Non-Voice/Blended process)
- Analyst Level hires: 5 - 8 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
Job Classification
Industry: IT Services & ConsultingFunctional Area / Department: Customer Success, Service & OperationsRole Category: Operations SupportRole: Operations Support - OtherEmployement Type: Full timeContact Details:
Company: AlightLocation(s): Noida, Gurugram
Keyskills: Training Service level Excel Insurance claims Backend operations Workflow Customer service Customer Service Associate blended process International voice
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Alight is a leading cloud-based human capital technology and services provider that powers confident health, wealth, and wellbeing decisions for 36 million people and dependents over 25 years. The Alight Work life platform combines data and analytics with a simple, seamless user experience. Suppo...
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