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Process Specialist (Claims Processor)Infosys • Atlanta, GA, United States
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Process Specialist (Claims Processor)

Process Specialist (Claims Processor)

Infosys • Atlanta, GA, United States
30+ days ago
Job type
  • Full-time
Job description

Process Specialist

As a Process Specialist, you will monitor incoming work requests for instruction accuracy and completeness and be responsible for working with the client to supplement or clarify incomplete or ambiguous requests. You will be intensely involved in facilitating new processes and procedures, working with immediate supervisor/manager in defining workflow that will ensure efficient and accurate processing of the business associated with the assigned team. You will assist in integrating these new processes into existing operations. You are or will become a Subject Matter Expert to the processes and procedures, client products, policy administration and recordkeeping systems, and any other ancillary systems. You will train new team members in operational functions including client specific procedures, service level agreements, the use of internal systems and client specific tools. You will track and report productivity service measurements to immediate supervisor/manager regularly to improve team and individual effectiveness. You will assist in monthly Metrics Reporting for volume and accuracy of work performed in the group, as well as documenting client specific processes and procedures. Location for this position is Atlanta, GA or Des Moines, IA. (Hybrid)

Key Responsibilities:

  • Perform detailed review and validation of life insurance claims documentation, policy forms, and supporting evidence to ensure completeness, accuracy, and regulatory compliance.
  • Process high-volume, detail-sensitive claims transactions across policy administration systems and workflow tools; research, validate, and resolve discrepancies efficiently.
  • Identify and resolve NIGO (Not In Good Order) items, suspense cases, and pending exceptions while minimizing cycle times and rework.
  • Apply working knowledge of state and federal insurance regulations, internal controls, and privacy standards throughout all claims processing activities.
  • Maintain accurate and audit-ready case notes, documentation, and activity logs to support compliance reviews and client inquiries.
  • Identify trends in errors or exceptions and escalate findings to leadership to drive continuous process improvement.
  • Support UAT, post-release validation, and pilot initiatives for system or process enhancements.
  • Assist with onboarding and knowledge transfer for new team members as needed.
  • Provide back-up coverage across related operational functions and client accounts during peak volume periods.

Qualifications:

  • Basic: High School or foreign equivalent required from an accredited institution.
  • At least 2 years of experience working in Life Insurance Claims Processing Operations.
  • Preferred: Insurance and / or financial industry knowledge.
  • Experience in the Financial Services sector working with data or trade processing.
  • Analytical skills.
  • Project management skills.

Who We Are: Infosys McCamish Systems, located in Atlanta, Georgia, is the Life Insurance and Retirement Services subsidiary of Infosys BPO Limited. It has an outstanding business perspective and an exemplary track record that no other outsourcer of business solutions can claim generating US$16 billion of recurring premium in less than five years as a virtual insurance company. Infosys McCamish has expert technology and outsourcing credentials, along with a proven business model for re-engineering systems and performing back-office services at a reduced cost, while reinforcing accuracy, speed and security. Seven of the top ten US insurers are among Infosys McCamish's many BPM clients. Infosys McCamish has its operations spread across Atlanta GA and Des Moines IA in USA. EOE/Minority/Female/Veteran/Disabled/Sexual Orientation/Gender Identity/National Origin Infosys is an equal opportunity employer, and all qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, spouse of protected veteran, or disability.

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Process Specialist (Claims Processor) • Atlanta, GA, United States

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