Lead Specialist - Health Insurance Operations

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