Associate - Claim Operations

Artex Risk Solutions; Pune District; On-site; INR 240,000 - 360,000; Full time

Job summary

Gallagher Center of Excellence is hiring an Associate/Analyst/Senior Analyst to handle document and email management, indexing, review, and payments for Workers' Compensation Claims. The role involves collaboration with an Australia-based team and adherence to client requirements and regulatory standards.

The ideal candidate holds a bachelor’s degree in insurance or related field, with knowledge of insurance terms and MS Office proficiency.

Qualifications

• Bachelor's degree in insurance or related field preferred.
• Insurance industry certifications such as AIC, AINS, Cert CII preferred.
• 0–1 year experience in insurance claims handling or freshers welcome.
• Proficient in MS Office (Excel, Word).
• Strong investigation and claims analysis abilities.

Responsibilities

• Evaluate documents, emails and categorize to appropriate document type and email.
• Interact with Claims Support Officers, Case Managers, Supervisors, and cross-functional teams including data services.
• Document information on claim files accurately and timely.
• Maintain effective communication with internal and external contacts.
• Learn and follow client requirements, standards, and applicable regulatory practices.

Skills

Claims investigation

Communication skills

Time management

Interpersonal skills

Regulatory awareness

Education

Bachelor's degree in insurance or related field

Insurance certifications (AIC, AINS, Cert CII)

Tools

MS Office

Job description

Overview

Gallagher Center of Excellence is seeking to hire a process Associate/Analyst/Senior Analyst position with minimum graduation qualification, should be willing to get trained in Insurance field. Your role will involve the process of document/email management, indexing, document review, payments, etc. for Workers Compensation Claims. You will be responsible for fostering a culture of collaboration, continuous improvement, and customer focus within the shared services team. You will be interacting with the team who are present in Australia. Exposure to Insurance regulations and laws, claims handling procedures and Risk management principles is a definite plus.

Responsibilities

• Evaluate documents emails and categorize them to appropriate document Type and email.
• Interaction with but not limited to Claims Support Officers, Case Managers, Supervisors, Branch Managers and Implementation and data services Team.
• Appropriately document information on claim file
• Maintain effective and ongoing communication with various internal and external contact
• Learn and follow best practices of clients as well as claims requirements, standards and practices as required by applicable state statutes
• Ensure adherence to regulatory requirements, industry standards, and company policies.
• Mitigate organizational risk, maintaining compliance and reputation

Qualifications

• Preferred Degree: Bachelor s degree in insurance or related field
• Certificate(s)/Special Training: Insurance industry certifications - AIC, AINS, Cert CII or any other relevant Insurance certification
• Experience (Career Level Guide) Fresher or 0-1-year experience in insurance claims handling
• Basic Knowledge of insurance terms - types of insurance, claims, parties to insurance etc.
• Excellent command of MS office (Excel Word)
• Knowledge, Skills and Ability: Investigate and analyze claims documentation and medical records
• Determine coverage and liability
• Negotiate settlements and resolve disputes
• Communicate effectively with insureds, claimants, suppliers and brokers
• Apply industry-standard claims handling procedures
• Claims investigation and analysis
• Effective communication and interpersonal skills
• Time management and organization
• Customer service and relationship-building
• Collaboration and teamwork

Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.