HGS is a global provider of technology, AI, and business services that helps organizations transform with confidence. At HGS, we combine technology, AI, and human expertise to deliver Intelligent Experiences that drive growth and transformation. Our strong foundation in CX enables us to create impactful solutions across industries. Through our Realized AI approach, we deliver practical innovation with measurable outcomes. Part of the multi-billion-dollar Hinduja Group, HGS takes a “globally local” approach with 18,000+ employees across 10 countries and 30 delivery centers.”

Claims Processors are involved in managing a claim from beginning through to settlement. They ensure that claims are handled efficiently and that payment for valid claims is made to their policyholders.

POSITION DESCRIPTION

• Interact with customers and act as a liaison between clients and companies by providing information to address inquiries regarding products and services

• Assist and help resolve any client inquiries, errors, account questions, billing, cancelations, and other queries about products and services

• Answer questions, offer advice, resolve routine problems in service, and serve as advocates for client’s customer service brand

• Process new Claims policies, modify existing ones and obtain information from policyholders to verify the accuracy of their accounts

• Calculate the amounts of claims, apply rating systems to claims, contact people involved in claims to obtain relevant information and recommend claim actions

• Assist claimants, providers and clients with problems or questions regarding their claims and/or policies whilst complying with state laws, policy and company procedures

• Make follow up outbound calls to customers and other parties as a part of case resolution process

• Ensure all client enquiries are recorded into the system, confirming all contact details of the enquirer with 100% accuracy

• Reviews claims thoroughly and to makes sure that all information are complete and correct; updates records of claims and follow up on lapsed cases

POSITION REQUIREMENTS

• 2+ years of experience in an international BPO

• Previous experience in the healthcare industry is an advantage

• Excellent English Communication skill (Verbal and Written)

• Willing to work onsite

• Willing to work night shifts

HGS is an equal opportunity employer committed to fostering diversity, equity, and inclusion. We do not discriminate based on race, ethnicity, religion, gender, national origin, age, disability, veteran status, genetic information, or any other characteristic protected by applicable law. We believe a diverse workforce drives innovation and helps us better understand and serve our global customers and communities.