16 Aug
|
Gallagher
|
Pune
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
Gallagher Center of Excellence is seeking to hire a Senior Analyst for Claims vertical. As Senior Analyst, you will be responsible to handle and execute all allocated claims in accordance with the company’s documented service standards.
Your role will involve investigation, evaluation, processing, disposition and settlement of claims.
You will be responsible for fostering a culture of collaboration, continuous improvement,
and customer focus within the shared services team. You will be interacting with the team who are present in any of the onshore locations. Exposure to Insurance regulations and laws, claims handling procedures and Risk management principles is a definite plus.
How you'll make an impact
Responsibilities:
3 years expereince into Employee perks claims
Eligibility verification and completeness review.
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 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 reput
📌 Senior Analyst (Pune)
🏢 Gallagher
📍 Pune