Claim operations

2 weeks ago

Pune, India Topgear Consultants Full time

This Opportunity is with a leading Insurance company for their office in Pune location

Role: Claim operations

Experience: 3 Years

Job Description:

ESSENTIAL RESPONSIBILITIES:

Describe the essential responsibilities in order of importance: Begin each responsibility with an action verb.

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.

Skills :

1.Excellent communication skills (Interpersonal, verbal, Presentation written & Email)

2.Able to work with Supervisor and virtual teams with collaborative efforts

3.Ability to prioritize, manage and deliver on multiple projects simultaneously

4.Strong bias towards action, flexible, resourceful and able to operate effectively within a Dynamic and fast paced environment

5.Positive Attitude, team Player, Self-Starter, initiative driven, ability to work independently

6.Identification of process gaps and steps to mitigate with optimum accuracy

7.Compile and present reports on customer service activities and performance metrics

8.Collaborate and maintain strong inter-team relationships

Interested Candidates can share their CV's

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