Sr. Analyst – Claims operations

2 weeks ago


Pune, India Gallagher Full time

Overview The Gallagher Center of Excellence is on the lookout for dynamic Claims Reporting Senior Analysts to join our esteemed Claims team. As the pivotal Sr Analyst – Claims Operations, you will be entrusted with the mission of delivering unparalleled customer service, proficient claims assistance, and thorough compliance and documentation. This position combines responsibilities for Claims Reporting and Claims Acknowledgment, requiring exceptional communication skills and a proactive approach to customer service while setting up claims and connecting with carriers to get the information. Your role is crucial in ensuring the seamless transition and delivery of various shared services functions to our internal stakeholders, all while championing a culture of excellence. How you'll make an impact Responsibilities : Claims Reporting Evaluate claims to ensure sufficient information is available for loss reporting. Submit claims to carriers and confirm receipt along with adjuster assignment. Manage claims intake queues, including new claims and exceptions. Ensure compliance with offshore reporting criteria for claims processing. Cross-verify reported claims and maintain accurate documentation. Claims Acknowledgment Send acknowledgment emails for claims information received via calls with insurance carriers. Follow special handling instructions for specific claims categories Maintain accurate records in systems such as Epic, Outlook, and DMS. Major Action and Support Actions Excellent communication skills (Interpersonal, verbal, Presentation written & Email) Able to work with Supervisor and virtual teams with collaborative efforts Ability to prioritize, manage and deliver on multiple projects simultaneously Strong bias towards action, flexible, resourceful and able to operate effectively within a Dynamic and fast paced environment Positive Attitude, team Player, Self-Starter, initiative driven, ability to work independently Identification of process gaps and steps to mitigate with optimum accuracy Compile and present reports on customer service activities and performance metrics Collaborate and maintain strong inter-team relationships Competencies: Communication & Customer Focus : Effectively convey information and actively listen to clients, prioritizing their needs and building strong relationships to enhance satisfaction and loyalty. Problem Solving & Collaboration: Proactively identify and resolve issues while working seamlessly with internal teams to deliver comprehensive and effective solutions. Proactiveness & Innovation : Anticipate customer needs and drive creative solutions to enhance service delivery and stay ahead in a competitive market. Accountability & Flexibility : Take responsibility for actions and outcomes while adapting to changing circumstances to meet client and organizational needs effectively. Planning & Prioritization : Strategically organize tasks and allocate resources to efficiently manage time and focus on the most critical activities to achieve goals About you Qualifications Minimum Required Degree: Graduate Preferred Degree: Any bachelor’s degree Certificate(s)/Special Training: Customer Service – Need to have/ Insurance Domain knowledge – Good to have Experience (Career Level Guide) Candidate must have minimum 1 year of experience on paper as a Senior Analyst or equivalent and overall 3 years of experience in working in US Insurance claims domain Experience in working in claims related processes in lines of business like Property, General Liability and Auto claims. Experience with mailbox management/triaging claims Should have experience in handling Outbound calls to get claim related information from different internal and external parties including Insurance carriers, clients, brokers KNOWLEDGE, SKILLS AND ABILITY: Excellent Communication & Interpersonal Skills Problem-Solving Skills Time Management Skills Technical Skills Empathy Adaptability Attention to Detail Teamwork Resilience



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