Process Associate Health and Dental Insurance Claims

Ready to shape the future of work
At Genpact, we don't just adapt to change-we drive it. AI and digital innovation are redefining industries, and we're leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how we're scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges.

If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that's shaping the future, this is your moment.

Genpact (NYSE: G) is anadvanced technology services and solutions company that deliverslastingvalue for leading enterprisesglobally.Through ourdeep business knowledge, operational excellence, and cutting-edge solutions - we help companies across industries get ahead and stay ahead.Powered by curiosity, courage, and innovation,our teamsimplementdata, technology, and AItocreate tomorrow, today.Get to know us atgenpact.comand onLinkedIn,X,YouTube, andFacebook.

We are inviting applications for the role of Process Associate/ Process Developer - Health and Dental Insurance Claims

In this role, you will be responsible for the function of the position, which is to transcribe inventories into Excel sheets while researching the Like, Kind, Quality of replacements and the understanding of product categories in a time sensitive manner. This position is responsible for accuracy, efficiency and retrieval of processed data.

Responsibilities

Transaction processing for Health and Dental Insurance Claims process

Transaction processing for Claims Support Teams.

Client interactions via training, conference calls, emails etc.

Manage MIS activities and data collation

Work towards driving process improvements and initiatives

Validating the medical records / invoices and reviewing the medical history

Manage all aspects of the claim process
. Adjudicate non-complex claims according to established guidelines and standards as well as state legislation
. Determine appropriate requirements
. Analyze and interpret claim documentation, policy contract wording and in-force policy documentation to establish whether the claim is complete and valid, correct death benefit and correct beneficiary
. Make claim decisions within approval limits
. Make disbursements on valid claims to the correct beneficiary for the correct claim amount
. Communicate and collaborate with the field and head office colleagues to provide the highest quality and service levels to customers
. Handle other issues or requirements related to the claim such as check stop pay and reissue
. Ability to adapt to changing regulatory requirements affecting claim practices and apply new approaches
. Specifically, claims and endowments annual due diligence address cleanse, process pre-escheatment claim payments
. Process accounting as required Assist in identifying and providing solutions to work related problems and issues (ie. work flow, systems)
. Communicate with claimants or their legal representatives as required
. Comply with complex state legislative requirements in terms of claims practices and report any fraudulent activities to the appropriate sources
. Comply with departmental procedures
. Actively participate in claims department projects that improve effectiveness and efficiency

Minimum qualifications

. Any Graduate except Technical

. Insurance domain certification will be an added advantage

Preferred qualifications

. Claims processing knowledge with Insurance Domain awareness

. Good Communication Skills

. Good working knowledge of MS Office

Why join Genpact
. Be a transformation leader - Work at the cutting edge of AI, automation, and digital innovation
. Make an impact - Drive change for global enterprises and solve business challenges that matter
. Accelerate your career - Get hands-on experience, mentorship, and continuous learning opportunities
. Work with the best - Join 140,000+ bold thinkers and problem-solvers who push boundaries every day
. Thrive in a values-driven culture - Our courage, curiosity, and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress
Come join the tech shapers and growth makers at Genpact and take your career in the only direction that matters: Up.
Let's build tomorrow together.

Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values respect and integrity, customer focus, and innovation.

Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a %27starter kit,%27 paying to apply, or purchasing equipment or training.