Introduction

Welcome to Gallagher in India — where expertise, technology, and purpose come together. Since 2006, Gallagher in India has supported global teams by delivering quality, service, and speed through deep expertise, smart technology, and specialized knowledge services. More than just an operations center, it’s a place where careers grow through collaboration, continuous learning, and purposeful work. We drive efficiency, compliance, and innovation so our teams can focus on serving clients. If you enjoy solving problems and working with purpose, Gallagher is the place where you can grow and feel a sense of belonging.

Overview

Minimum 3 years of experience in US Healthcare employee benefit claims
Proven track record of successful claim resolutions and customer satisfaction.
Robust knowledge of US Healthcare insurance regulations, policies, and procedures.
Hands on experience in approving EB claims like Dental, physiotherapy and other procedures
Confirm patient insurance coverage, deductibles, and eligibility against policy guidelines.




Calculate the correct reimbursement amount to issue payments or formally deny/pend invalid claims.
Perform Employee benefit determination and pay/deny decisioning per plan rules
Communicate with healthcare providers, patients, and internal departments to resolve discrepancies.
Follow federal/state regulations and guidelines to protect sensitive patient information (HIPAA). Mitigate organizational risk, maintaining compliance and reputation

How you'll make an impact

Hands on experience in approving EB claims like Dental, physiotherapy and other procedures
Confirm patient insurance coverage, deductibles, and eligibility against policy guidelines.
Calculate the correct reimbursement amount to issue payments or formally deny/pend invalid claims.
Perform Employee benefit determination and pay/deny decisioning per plan rules
Communicate with healthcare providers, patients, and internal departments to resolve discrepancies.
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📌 Senior Analyst (Pune)
🏢 Gallagher
📍 Pune