11 Nov
|
2062 CSC India
|
Raju Ki Dhani
11 Nov
2062 CSC India
Raju Ki Dhani
Role Overview : Key Responsibilities :
- Process and adjudicate Life Insurance and Living Benefits Claims for Canadian policyholders in accordance with company guidelines, service-level agreements (SLAs), and regulatory requirements.
- Review claim documentation, validate policy provisions, assess eligibility, and determine claim outcomes with accuracy and attention to detail.
- Coordinate with onshore teams, business partners, and clients to resolve claim-related queries and ensure seamless transaction processing.
- Manage claim cases from initiation through closure, ensuring all required documentation is collected, reviewed, and maintained.
- Identify missing information and proactively follow up with customers, beneficiaries, healthcare providers, or internal stakeholders to facilitate claim completion.
- Maintain accurate records and update claims management systems with all relevant activities and decisions.
- Monitor claim turnaround times and ensure adherence to quality standards and operational KPIs.
- Support investigations and escalation management for complex or exceptional claim scenarios.
- Participate in process improvement initiatives aimed at enhancing operational efficiency, customer experience, and quality outcomes.
- Ensure compliance with Canadian insurance regulations, internal policies, and data privacy requirements.
- Collaborate with quality, training, and operations teams to drive continuous process improvement and operational excellence.
Required Skills & Qualifications :
- Minimum 6-7 years of experience in Life Insurance and/or Living Benefits Claims Processing .
- Strong understanding of insurance products, policy administration, claims adjudication,
and customer servicing.
- Fluent French language proficiency (spoken and written) is mandatory.
- Excellent verbal and written communication skills in English .
- Ability to interact professionally with clients, stakeholders, and cross-functional teams across geographies.
- Experience working with Canadian Life Insurance processes will be highly preferred.
- Strong analytical and decision-making skills with the ability to interpret policy terms and claim documentation.
- High attention to detail and commitment to quality and accuracy.
- Ability to manage multiple priorities while meeting established deadlines and service standards.
Preferred Attributes :
- Customer-centric mindset with solid problem-solving capabilities.
- Ability to work independently while collaborating effectively within global teams.
- Experience handling sensitive customer information with professionalism and confidentiality.
- Strong organizational and time-management skills.
- Adaptability to a dynamic operational environment and willingness to participate in process transformation initiatives.
Work Environment :
- Willingness to work in night shifts aligned with Canadian business hours.
- Ability to work effectively in a fast-paced, performance-driven environment.
- Commitment to delivering exceptional customer service and maintaining operational excellence.
At DXC Technology, we believe strong connections and community are key to our success. Our work model prioritizes in-person collaboration while offering flexibility to support wellbeing, productivity, individual work styles, and life circumstances. We’re committed to fostering an inclusive environment where everyone can thrive.
📌 Senior Analyst I Business Process Transactions (Raju Ki Dhani)
🏢 2062 CSC India
📍 Raju Ki Dhani