Claim Operations role

1 week ago

Pune, Maharashtra, India Fulcrum Digital Inc Full time

Claim Operations role

Pune/Hybrid

Permanent

Job Description.

The Role

  • Must have experience in the insurance domain, specifically in Property & Casualty, claims processing, and operations.
  • Create, update, and maintain operational and SOP documents; manage system access for the Claims leadership team and provide accurate data.
  • Able to work effectively at all levels from managing frontline employees to engaging with executives.
  • Demonstrated ability to identify and implement process improvements within an operations environment.
  • Skilled in managing operational inventory to meet defined Service Level Agreements (SLAs).
  • Ensure all activities are accurately documented in the appropriate client systems.
  • Communicate with Global Claims Relationship Managers to support the execution of global claims strategies and ensure ongoing engagement with assigned carriers.
  • Handle and process claims related to Auto Liability, property damage, personal injury, and liability.
  • Investigate claims, verify coverage, and claim details, and ensure accurate and fair claim submission.
  • Collaborate with adjusters, legal teams, and clients to resolve claims efficiently.
  • Review policy details with clients to ensure clarity and compliance.
  • Maintain detailed and accurate records of policies, claims, communications, and related documentation.

Requirements

  • Strong verbal and written communication skills.
  • Familiar with claims processing tools, such as FileHandler.
  • Able to communicate effectively with onsite teams and stakeholders.
  • Capable of operating at all organizational levels from managing frontline staff to interacting with executives.
  • Proven ability to identify and implement process improvements in an operations environment.
  • Skilled in managing operational inventory to meet established Service Level Agreements (SLAs).
  • Ensure all activities are accurately documented in the appropriate client systems.
  • Collaborate with Global Claims Relationship Managers to support the execution of global claims strategies and maintain carrier engagement.

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