Claims Processing Associate - Insurance BPO Vertical

MNC JOBS INFO

Available Locations: Bengaluru, Karnataka

Job Description

We are hiring a Claims Processing Associate to support back-office operations in our Insurance BPO vertical. This role involves reviewing, validating, and processing insurance claims for accuracy and compliance with policy terms and regulatory standards. You will play a key part in ensuring timely, accurate, and efficient claims handling for clients in health, life, property, or auto insurance domains.


Ideal for detail-oriented candidates with strong analytical skills and an interest in the insurance or financial services industry.



Key Responsibilities:



  • Review and process insurance claims according to client-specific policies and guidelines.

  • Verify completeness and accuracy of claims documentation submitted by policyholders or providers.

  • Cross-check claim details against policy terms and coverage limits.

  • Flag discrepancies, potential fraud indicators, or incomplete data for further investigation or correction.

  • Accurately update claim records in internal systems and databases (e.g., CMS, Facets, or proprietary platforms).

  • Collaborate with QA, compliance, or escalation teams as needed.

  • Meet productivity, accuracy, and turnaround time targets (SLAs).

  • Maintain data confidentiality and adhere to industry compliance standards (e.g., HIPAA for healthcare claims).



Required Skills & Qualifications:



  • Bachelor’s degree in Commerce, Finance, Healthcare Administration, or a related field.

  • Strong attention to detail and data accuracy.

  • Good written communication and comprehension skills.

  • Proficient in basic computer applications (MS Excel, email tools, data entry platforms).

  • Ability to work in a structured, process-oriented environment.

  • Willingness to work in rotational shifts if required.



Preferred Experience:



  • 6 months to 2 years of experience in insurance claims processing, data entry, or healthcare BPO.

  • Familiarity with US/UK insurance processes (Health, Life, P&C, etc.).

  • Experience with claim adjudication, denial management, or payment processing.

  • Knowledge of claims management systems or policy administration platforms.



What We Offer:



  • Competitive salary with performance-based incentives.

  • Health insurance, paid leave, and shift allowances.

  • Extensive process training and domain-specific learning programs.

  • Opportunities to advance into QA, SME, or team lead roles within the insurance vertical.

  • Stable work environment with reputable insurance clients.



Why Join Us:



  • Gain in-depth experience in the insurance services industry.

  • Be part of a high-growth, process-driven BPO vertical.

  • Work with top insurance carriers in the US, UK, or global markets.

  • Build a long-term career path in claims, underwriting, or policy servicing.



How to Apply:


Send your updated resume to us or apply via Company Careers Portal. Shortlisted candidates will be contacted for assessments and interviews.

Apply Now

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