Life & Annuities Claims Representative

Virtual Req #27289
Tuesday, November 5, 2024

Company Overview and Culture 

EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 55,000 employees spanning six continents. For more information, visit http://www.exlservice.com.



Job Title: Life & Annuities Claims Representative, Operations

 

Brief Job Description:

 

The mission of this job is to promptly analyze policy files to determine and pay correct policy death benefits and beneficiaries and to handle incoming calls related to the death benefits.

 

Responsibilities:

 

  • Accountable for identifying, investigating, evaluating, obtaining and utilizing critical information required to accurately and objectively adjudicate claims.
  • Verbally communicate and correspond with outside customers to convey claim filing requirements.
  • Handles claim inquiries and processing on multiple product lines.
  • Documents all calls clearly and concisely and completes follow-up work.         Identify areas of potential risk for the company, including potential fraud.
  • Analyze all incoming documents for appropriateness and completeness, and determine whether claim is payable. If so, calculate benefit amounts and serve as 1st approver for payments.
  • Serves as the first step in resolving claims adjudication issues and in the call escalation process.
  • May be responsible for incoming and outgoing calls to claimants, Power’s of Attorney, facilities and other person’s or entities involved in the adjudication of a claim.
  • Ensure all tax information is correctly reported.
  • Maintain claim file with proper level of documentation.
  • Answer customer inquiries.
  • Maintain claim inventories within departmental, contractual, and regulatory guidelines.

Basic Qualifications:

  

  • Death claims processing for life and/or annuity contracts preferred
  • Two-year college degree or equivalent experience in a financial institution operations department, customer service, or annuity product experience.
  • Knowledgeable in life or annuity products and death claim processing
  • Must have sharp attention to detail and ability to perform with high degree of accuracy.
  • Strong analytical skills to review documents and reach sound decisions
  • Proven oral and written communication skill set.
  • Ability to:
    • Meet multiple performance targets at or above benchmark levels; including, but not limited to:  accuracy, call quality, timeliness, and productivity.
    • Work harmoniously with peers within a small team environment to accomplish both personal and team performance goals.
    • Work with customers in a professional and empathic manner

o     Work overtime, as needed, to meet daily deadlines 

o     Work simultaneously with multiple computer systems

o     Compute moderately difficult mathematical calculations

 

  • Available for 8-hour shift between 8am to 8pm working hours;
  • Work from home   

 

EEO/Minorities/Females/Vets/Disabilities 

To view our total rewards offered click here —> https://www.exlservice.com/us-careers-and-benefits
 
Base Salary Range Disclaimer: The base salary range represents the low and high end of the EXL base salary range for this position. Actual salaries will vary depending on factors including but not limited to: location and experience. The base salary range listed is just one component of EXL's total compensation package for employees. Other rewards may include bonuses, as well as a Paid Time Off policy, and many region specific benefits. 
 
Please also note that the data shared through the job application will be stored and processed by EXL in accordance with the EXL Privacy Policy. 

Application & Interview Impersonation Warning – Purposely impersonating another individual when applying and / or participating in an interview in order to obtain employment with EXL Service Holdings, Inc. (the “Company”) for yourself or for the other individual is a crime.  We have implemented measures to deter and to uncover such unlawful conduct.  If the Company identifies such fraudulent conduct, it will result in, as applicable, the application being rejected, an offer (if made) being rescinded, or termination of employment as well as possible legal action against the impersonator(s).

EXL may use artificial intelligence to create insights on how your candidate information matches the requirements of the job for which you applied. While AI may be used in the recruiting process, all final decisions in the recruiting and hiring process will be taken by the recruiting and hiring teams after considering a candidate’s full profile. As a candidate, you can choose to opt out of this artificial intelligence screening process. Your decision to opt out will not negatively impact your opportunity for employment with EXL.

Other details

  • Pay Type Hourly
  • Min Hiring Rate $24.00
  • Max Hiring Rate $28.00