Lead Specialist - Insurance Operations

12 Months ago • 6-10 Years • Operations

Job Summary

Job Description

Mercer is seeking a Lead Specialist for Insurance Operations in Pune, India. This individual contributor role supports the Health Asia Broking team by delivering effective insurance broking services through comprehensive analysis and reporting. Responsibilities include preparing claims analysis, conducting insurance product comparisons, generating benchmarking reports, and analyzing employee benefits trends and policies. The role requires a hybrid work model with at least three days a week in the office.
Must have:
  • Create client insurance coverage renewal reports (Claims Analysis, Demographic Analysis, Benchmarking, Clinic Mapping) & Proforma.
  • Analyze top categories of different insurance claims types for clients.
  • Prepare graphical & data views of employees and dependents based on age category and insurance policies.
  • Summarize insurer benefits for renewal placement across various insurance categories.
  • Assure the highest quality and integrity of data for accurate and timely client deliverables.
  • Prepare data quality and control reports and refer queries for resolution.
  • Issue control reports to user groups and liaise with regional business users.
  • Identify and raise data quality anomalies to direct manager for resolution.
  • Manage, prioritize, and ensure workload meets deadlines and targets.
  • Prioritize and manage multiple deadlines simultaneously.
  • Establish new prospect/client account records within internal systems.
  • Participate in User Acceptance Testing for data repository’s fixes and conduct updates.
  • Graduate in Any Stream.
  • 6-10 years of relevant experience.
  • Knowledge of Group insurance (Group Medical, Group Life insurance, Dental, LTD etc.).
  • Strong analytical skills.
  • Proficient in Microsoft Excel, Word and PowerPoint.
  • Process oriented mind frame with a focus on efficiency and accuracy.
  • Excellent planning and organizational skills with the ability to manage and prioritize multiple tasks.
  • Proven ability to successfully manage projects of varying complexity.
  • Demonstrate a positive and participative style, sets and expects high standards of service and delivery.
  • Team player with excellent verbal and written communication skills.
  • Ability to build, foster and strengthen close partnerships with colleagues across teams and locations.
Good to have:
  • Process transition experience
  • Health Insurance Certificate (HI)
  • Adaptable communicator, facilitator, influencer and problem solver
  • High attention to detail
  • Good relationship skills
  • Proven ability to work on own initiative as well as in a team
  • Ability to multi-task and prioritize time effectively
Perks:
  • Professional development opportunities
  • Interesting work
  • Supportive leaders
  • Vibrant and inclusive culture
  • Opportunity to work with talented colleagues to create new solutions
  • Range of career opportunities
  • Benefits and rewards to enhance your well-being

Job Details

Mercer is seeking candidates for the following position based in the Pune office.

This is a hybrid role that has a requirement of working at least three days a week in the office.

Lead Specialist – Grade D1 - Insurance Operations

What can you expect?

We are looking to hire a Lead Specialist - Insurance Operation for Health Asia Broking team. This is an individual contributor role.

This role supports the business team in delivering effective insurance broking services through comprehensive analysis and reporting. The analyst will be responsible for preparing claims analysis, conducting insurance product comparisons, and generating benchmarking reports. Additionally, the candidate will analyze data on current employee benefits trends and evaluate existing benefits policies.

We will count on you for:

  • Creation of client insurance coverage renewal report (consists of Claims Analysis, Demographic Analysis, Benchmarking, Clinic Mapping) & Proforma
  • Claim Analysis – Analyse top categories of different insurance claims type for clients and provide bird eye view
  • Demographic Analysis – Graphical & data view of employees, dependents basis age category and insurance policies covered
  • Proforma – Summary of insurer benefit for renewal placement for various insurance categories.
  • Assures the highest quality and integrity of data to support accurate, consistent, well understood and timely information for client’s deliverables.
  • Prepares data quality and control reports and refers queries for resolution to facilitate day-to-day operation.
  • Issues control reports to user groups for action and liaises with regional business users to facilitate dialogue surrounding the data group systems.
  • Identifies and raises data quality anomalies to a direct manager for resolution to ensure any concerns are addressed in an appropriate and timely manner.
  • Manages, prioritizes and ensures that workload within own portfolio meets deadlines and targets to assist the team in achieving its business objectives.
  • Ability to prioritize and manage multiple deadlines simultaneously.
  • Establishes new prospect/client account records within internal systems as requested by the business to enable functionality.
  • Participates in User Acceptance Testing for data repository’s fixes and conducts updates prior to deployment.

What you need to have:

  • Graduate in Any Stream
  • Total 6-10 years of relevant experience
  • Knowledge Group insurance i.e. Group Medical, Group Life insurance, Dental, LTD etc.
  • Strong analytical skills
  • Preferable to have process transition experience
  • Health Insurance Certificate (HI) is preferred
  • Proficient in Microsoft Excel, Word and PowerPoint
  • Process oriented mind frame with a focus on efficiency and accuracy
  • Excellent planning and organizational skills with the ability to manage and prioritize multiple tasks
  • Proven ability to successfully manage projects of varying complexity
  • Demonstrate a positive and participative style, sets and expects high standards of service and delivery and leads by example while being a self-starter
  • Team player with excellent verbal and written communication skills
  • Ability to build, foster and strengthen close partnerships with colleagues across teams and locations

What makes you stand out?

  • Adaptable communicator, facilitator, influencer and problem solver
  • High attention to detail
  • Good relationship skills, Proven ability to work on own initiative as well as in a team
  • Ability to multi-task and prioritize time effectively

Why join our team?

  • We help you be your best through professional development opportunities, interesting work and supportive leaders.
  • We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities.
  • Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.

Mercer believes in building brighter futures by redefining the world of work, reshaping retirement and investment outcomes, and unlocking real health and well-being. Mercer’s more than 20,000 employees are based in 43 countries and the firm operates in over 130 countries. Mercer is a business of Marsh McLennan (NYSE: MMC), the world’s leading professional services firm in the areas of risk, strategy and people, with more than 85,000 colleagues and annual revenue of over $23 billion. Through its market-leading businesses including Marsh, Guy Carpenter and Oliver Wyman, Marsh McLennan helps clients navigate an increasingly dynamic and complex environment. For more information, visit mercer.com. Follow Mercer on LinkedIn and X.

Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age, background, caste, disability, ethnic origin, family duties, gender orientation or expression, gender reassignment, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, or any other characteristic protected by applicable law.

Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which

Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow on LinkedIn and X.

Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age, background, caste, disability, ethnic origin, family duties, gender orientation or expression, gender reassignment, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, or any other characteristic protected by applicable law.

Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.

About Us

Click here to return to the MMC Careers Site

Marsh McLennan (NYSE: MMC) is the world's leading professional services firm in the areas of risk, strategy and people. The Company's 76,000 colleagues advise clients in over 130 countries. With annualized revenue approaching $17 billion, Marsh & McLennan helps clients navigate an increasingly dynamic and complex environment through four market-leading businesses. Marsh advises individual and commercial clients of all sizes on insurance broking and innovative risk management solutions. Guy Carpenter develops advanced risk, reinsurance and capital strategies that help clients grow profitably and pursue emerging opportunities. Mercer delivers advice and technology-driven solutions that help organizations meet the health, wealth and career needs of a changing workforce. Oliver Wyman serves as a critical strategic, economic and brand advisor to private sector and governmental clients. For more information, visit mmc.com, follow us on LinkedIn and Twitter @mmcglobal or subscribe to BRINK.

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About The Company

Marsh McLennan (NYSE: MMC) is the world's leading professional services firm in the areas of risk, strategy and people. The Company's 76,000 colleagues advise clients in over 130 countries. With annualized revenue approaching $17 billion, Marsh & McLennan helps clients navigate an increasingly dynamic and complex environment through four market-leading businesses. Marsh advises individual and commercial clients of all sizes on insurance broking and innovative risk management solutions. Guy Carpenter develops advancedrisk,reinsurance and capital strategies that help clients grow profitably and pursue emerging opportunities. Mercer delivers advice and technology-driven solutions that help organizations meet the health, wealth and career needs of a changing workforce. Oliver Wyman serves as a critical strategic, economic and brand advisor to private sector and governmental clients.

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