Description

Process Specialist
Claims Examiner
Location: Des Moines, IA

In the role of Process Specialist, you will serve as a subject matter expert for the claim team in answering team member questions regarding case specifics and assisting with complicated cases . You will respond to phone and email inquiries related to claims and follow up on any outstanding requirements within a specified timeframe . You will maintain detailed, compliant, and accurate documentation of all claim activity and collaborate with the team to update procedures and develop new procedures as appropriate.

Responsibilities:

• Serve as an SME for claim team in answering team member questions regarding case specifics and assisting with complicated cases.
• Customer Service Experience - respond to phone and email inquiries related to claims.
• Follow up on any outstanding requirements within a specified timeframe.
• Maintain detailed, compliant, and accurate documentation of all claim activity.
• Collaborate with team to update procedures and develop new procedures as appropriate.
• Coordinate special projects as assigned.
• Training in new procedures.
• Perform quality reviews on claims/letters.

Qualifications:

Basic

• High School Diploma or GED Equivalent. Will also consider three years of progressive experience in the specialty in lieu of every year of education.
• 2 years' experience relevant to the job description

Preferred

• Associate or bachelor's degree
• 3 years' experience analyzing life claims.
• Effective written and verbal communication skills
• Knowledge of the insurance industry or insurance products/procedures through a combination of experience and/or coursework
• Organizational and follow through skills.
• Sensitivity to service and quality
• Ability to work with confidential information.

Your responsibilities include but may not be limited to

• Serve as a SME for claim team in answering team member questions regarding case specifics and assisting with complicated cases.
• Customer Service Experience - respond to phone and email inquiries related to claims.
• Follow up on any outstanding requirements within a specified timeframe.
• Maintain detailed, compliant, and accurate documentation of all claim activity.
• Collaborate with team to update procedures and develop new procedures as appropriate.
• Coordinate special projects as assigned.
• Training on new procedures.
• Perform quality reviews on claims/letters.

Note: Applicants for employment in the U.S. must possess work authorization which does not require sponsorship by the employer for a visa (H1B or otherwise).

The job entails sitting as well as working at a computer for extended periods of time. Should be able to communicate by telephone, email or face to face.

About Us
Infosys McCamish Systems,(http://www.infosysbpm.com/mccamish) located in Atlanta, Georgia, is the Life Insurance and Retirement Services subsidiary of Infosys BPM Limited.(www.infosysbpm.com) Infosys McCamish was started in 1985 as a virtual insurance company and went to market as a commercial services provider in 1995.It has an outstanding business perspective and an exemplary track record that no other outsourcer of business solutions can claim - generating US$16 billion of recurring premium in less than five years as a virtual insurance company. Infosys McCamish has expert technology and outsourcing credentials, along with a proven business model for re-engineering systems and performing back-office services at a reduced cost, while reinforcing accuracy, speed and security. Seven of the top ten US insurers are among Infosys McCamish's many BPM clients. Infosys McCamish has its operations spread across Atlanta GA and Des Moines IA in USA.

U.S. citizens and those authorized to work in the U.S. are encouraged to apply. We are unable to sponsor at this time.

EOE/Minority/Female/Veteran/Disabled/Sexual Orientation/Gender Identity/Nationality

Infosys is an equal opportunity employer, and all qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, spouse of protected veteran, or disability.