Claims Call Center

Fulcrum Digital Inc; Maharashtra; On-site; INR 300,000 - 540,000; Full time

Job summary

Fulcrum Digital Inc. is seeking an experienced Claims Call Center Representative to manage customer interactions related to Property & Casualty insurance claims.

You will handle FNOL, respond to inquiries, verify policy information, and coordinate with internal teams to ensure timely resolutions. The role requires 3+ years in insurance claims or related services, with preference for P&C insurance experience.

Qualifications

• 3+ years of experience in insurance claims, customer service, or claims call center operations.
• Experience in Property & Casualty (P&C) Insurance is preferred.

Responsibilities

• Handle inbound customer calls related to insurance claims, FNOL, claim status, coverage, payments, and settlements.
• Accurately capture and document claim information during the FNOL process.
• Verify policy details, coverage, limits, deductibles, and claim status.
• Explain claims procedures, required documentation, and next steps to customers.
• Provide timely and accurate updates on claim progress.
• Address customer questions and resolve routine claim-related issues during the call.
• Coordinate with claims adjusters, brokers, agents, payment teams, and internal departments to resolve customer queries.
• Follow up on outstanding claim information and documentation when required.
• Identify and escalate complex claims, complaints, coverage issues, or service requests to the appropriate team.
• Maintain accurate customer, claim, and call records in the relevant systems.
• Ensure all interactions are handled within defined SLAs, quality standards, and compliance requirements.
• Handle sensitive customer situations professionally and demonstrate empathy during claim interactions.
• Identify recurring customer issues and provide feedback to improve claims processes and customer experience.
• Follow company policies, regulatory requirements, data privacy guidelines, and claims handling procedures.

Skills

P&C insurance knowledge

Claims processes

Customer service

Communication skills

Active listening

Escalation handling

Documentation

SLA/KPI awareness

MS Office proficiency

Team collaboration

Job description

Job Title: Claims Call Center Representative – P&C Insurance

Experience

• 3+ years of experience in insurance claims, customer service, or claims call center operations.
• Experience in Property & Casualty (P&C) Insurance is preferred.

Role Summary

We are looking for an experienced Claims Call Center Representative to handle customer interactions related to Property & Casualty insurance claims. The role will be responsible for managing First Notice of Loss (FNOL), responding to claim-related inquiries, providing claim status updates, verifying policy information, and coordinating with internal claims teams to ensure timely and accurate resolution.

Key Responsibilities

• Handle inbound customer calls related to insurance claims, FNOL, claim status, coverage, payments, and settlements.
• Accurately capture and document claim information during the FNOL process.
• Verify policy details, coverage, limits, deductibles, and claim status.
• Explain claims procedures, required documentation, and next steps to customers.
• Provide timely and accurate updates on claim progress.
• Address customer questions and resolve routine claim‑related issues during the call.
• Coordinate with claims adjusters, brokers, agents, payment teams, and internal departments to resolve customer queries.
• Follow up on outstanding claim information and documentation when required.
• Identify and escalare complex claims, complaints, coverage issues, or service requests to the appropriate team.
• Maintain accurate customer, claim, and call records in the relevant systems.
• Ensure all interactions are handled within defined SLAs, quality standards, and compliance requirements.
• Handle sensitive customer situations professionally and demonstrate empathy during claim interactions.
• Identify recurring customer issues and provide feedback to improve claims processes and customer experience.
• Follow company policies, regulatory requirements, data privacy guidelines, and claims handling procedures.

Required Skills

• Strong understanding of P&C insurance and claims processes.
• Experience handling customer calls in an insurance/claims environment.
• Strong verbal and written communication skills.
• Excellent customer service and active listening skills.
• Ability to handle difficult or escalated customer interactions professionally.
• Strong problem‑solving and decision‑making skills.
• Good attention to detail and accurate documentation skills.
• Ability to manage high call volumes and multiple customer requests.
• Ability to work effectively within a team and meet defined SLAs/KPIs.
• Good working knowledge of MS Office and claims/customer service applications.

Key Performance Areas

• Call quality and customer satisfaction.
• FNOL and claim information accuracy.
• First-call resolution and effective query handling.
• Adherence to SLAs and turnaround times.
• Documentation and data accuracy.
• Compliance with claims and customer service procedures.