Claim Operations role - Property and Casualty

3 - 7 years

0 Lacs

Posted:1 week ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

The role of a Claim Operations professional in Pune/Hybrid is pivotal in the insurance domain, especially in Property & Casualty claims processing and operations. Your responsibilities will include creating, updating, and managing operational and SOP documents, overseeing system access for the Claims leadership team, and ensuring the provision of accurate data. You should be adept at working effectively across all organizational levels, from frontline employees to executives. Your capacity to identify and implement process enhancements within an operational setting will be crucial. Additionally, you must possess the skills to manage operational inventory to meet defined Service Level Agreements (SLAs) and ensure accurate documentation in client systems. As a Claim Operations specialist, you will be required to collaborate with Global Claims Relationship Managers to facilitate the execution of global claims strategies and maintain continuous engagement with assigned carriers. Handling and processing claims related to Auto Liability, property damage, personal injury, and liability will be part of your daily tasks. This role will also involve investigating claims, verifying coverage and claim details, and ensuring the submission of accurate and fair claims. Effective communication with adjusters, legal teams, and clients to expedite claims resolution will be essential. Moreover, reviewing policy specifics with clients to ensure comprehension and adherence is a critical aspect of this role. Maintaining meticulous and precise records of policies, claims, communications, and associated documentation is paramount to the successful fulfillment of your duties. The ideal candidate for this position should possess strong verbal and written communication skills, familiarity with claims processing tools like FileHandler, and the ability to engage effectively with onsite teams and stakeholders. You must demonstrate proficiency in operating at various organizational levels, from frontline staff management to executive interaction. A track record of identifying and implementing operational process improvements, managing inventory to meet SLAs, and ensuring accurate documentation in client systems is highly desirable. Collaboration with Global Claims Relationship Managers to uphold global claims strategies and sustain carrier engagement will be a fundamental aspect of this role.,

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