Claims Admin- Casualty

4 days ago


Pune Maharashtra, India Davies Full time

**Description**:
Davies are looking to recruit exceptional colleagues to support our growing UK Claims team (OFFSHORE). This role is pivotal to ensuring our operation runs smoothly ensuring that our customer facing teams can spend time talking to customers and proactively managing claims knowing that all administration functions are in a “safe pair of hands” by their colleagues in India.

**Key Responsibilities**:
**Communication Skills**

Engage with diverse individuals globally.

Ensure accurate information reaches the appropriate individuals. You should be confident in written, virtual, and team communication.

Feel empowered to voice your ideas that enhance best practices.

**Data Management**

Transfer information across various databases/portals/platforms.

Review data for inconsistencies or missing information.

Accurately input raw data into spreadsheets, documents, or databases.

Cleanse data within the CRM system using exception reporting.

Perform manual policy checks on various client portals where no automated process is available.

**Client & Customer Correspondence**

Securely issue payments to policyholders for settlements.

Review customer documentation to determine policy coverage, request further substantiation, or decline the claim.

Review claims on third-party client systems and transfer relevant data onto our in-house claims system to advance the customer’s claim.

Perform manual policy checks on various client portals where no automated process is available.

Review existing claims, set up new claims, and update claims on internal systems.

Monitor various real-time system dashboards and take appropriate action to advance a claim within agreed SLA’s.

**Quality Assurance**

Audit claim files in line with Company and client requirements.

Have a good understanding of regulatory procedures related to call taking.

Audit telephony calls and associated file activity in line with Company and client requirements.

Work as a team to ensure audits are completed to deadlines.

**Skills, Knowledge & Expertise**:
Bring a professional and friendly approach to work.

Enjoy working as a team and appreciate everyone’s value and contribution.

A minimum qualification of 10+2 or equivalent in Maths and English is required.

Excellent computer literacy with fast and accurate keyboard skills.

Able to work under pressure in a fast-paced environment.

The ability to organise and prioritise your own workload.

Good accuracy and attention to detail.

**About Davies**:
We are a specialist professional services and technology firm, working in partnership with leading insurance, highly regulated and global businesses.

We help our clients to manage risk, operate their core business processes, transform and grow. We deliver professional services and technology solutions across the risk and insurance value chain, including excellence in claims, underwriting, distribution, regulation & risk, customer experience, human capital, digital transformation & change management.

Our global team of more than 8,000 professionals operate across ten countries, including the UK & the U.S. Over the past ten years Davies has grown its annual revenues more than 20-fold, investing heavily in research & development, innovation & automation, colleague development, and client service. Today the group serves more than 1,500 insurance, financial services, public sector, and other highly regulated clients.


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