Team Leader - Claims Administrator

5 - 8 years

0.0 Lacs P.A.

Pune, Maharashtra, India

Posted:2 weeks ago| Platform: Linkedin logo

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Skills Required

leadershipindexingimagingauditsdataprocessingsupportcollaborativemanagementcommunicationmonitoringworkflowcoachingverificationretentionserviceauditevaluationpresentationadaptabilityplanningevidence

Work Mode

On-site

Job Type

Full Time

Job Description

Application Deadline: 11 August 2025Department: Claims ManagementLocation: Pune Description Davies is seeking a highly organised and self-motivated professional to join our Life & Health team as an Administrator Team Leader. In this role, you will provide leadership, guidance, and direction to a dedicated team, ensuring the achievement of key results and operational excellence. Your responsibilities will include overseeing document indexing, imaging, quality audits, data entry and the review of Proof of Loss (POL), as well as processing policy documents and claims. You will play a critical role in handling sensitive files and processing essential documents to support our US operations. This is an excellent opportunity for a proactive and detail-oriented individual looking to make an impact within a dynamic and collaborative environment. Key Responsibilities People & Process Management:Provide daily direction and communication to employees so that processes run in an efficient mannerAssist in developing clear and measurable performance criteria for all assigned team members and remain accountable to team output and contributionsManage all established productivity and quality standards to meet or exceed goals by monitoring all productivity to ensure timely outputAct as primary resource for questions and support needsMonitor and manage work queues and offer assistance when neededManage workflow requests and ensure they are processed efficiently throughout the working day.Provide coaching, feedback, performance management including and up to management of a performance improvement plan (PIP) and termination.Inbound Document Indexing & Verification:Accurately and efficiently index inbound documents into document retention systemUse data entry to process information from documents to ensure accuracyClassify, and index documents to correlating policyholder policies/claimsUnderstand and recognize relevant identifiers such as policy number, claim number, etc. to accurately and efficiently support all operational departments with incoming documentsReview and understand different document types, which included various legal documents.Respond promptly to internal and external customer needs and request for service assistance.Document and Phone Quality Audit:Perform quality audits efficiently and effectivelyReview calls to verify correct information was provided and call was properly documentedReviewed completed inquiries to verify correct action was taken included follow up completed as necessaryDraft feedback in a coaching and positive manner.Policy Document ProcessingProcessing policy documentsPerform data entry of various types of documentsIdentify and escalate issues in a timely manner.Claims Management and Claims PaymentProof of Loss Document Evaluation and set-up for identified recertificationsCorrect/Update provider informationHandle Failed FaxesProcess PaymentsQuarterly and Year end evaluation of 1099sMiscellaneous Duties:Excellent oral communications skills must speak clearly and persuasively in positive or negative situations.Listens and gets clarification, responds well to questions, demonstrate group presentation skills, participates in meetingsPerform other duties and projects as assigned Skills, Knowledge & Expertise CollaborationDecision Making SkillsInitiativeOral CommunicationPlanning/OrganizingQualityWritten CommunicationKnowledge of insurance and the insurance marketExcellent computer literacy with fast and accurate keyboard skillsData inputting experience and good data integrityThe ability to work as part of a teamTo take responsibility for your workloadMust be able to demonstrate adaptability and flexibilityGood planning and organisational skillsPrevious experience working in an administration role is preferable but not essentialIs proactive and resilient, seeking to get things done and, at the same time, deal with a variety of tasksWork to deadlines to achieve client service level agreements in a changing and demanding environmentAble to demonstrate effective management of time and resourcesCan demonstrate evidence of being an effective team member, interacting positively with colleagues, and communicating effectively with diverse peopleActively seeking and responding to feedback

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