SME-Ins Claims

Cognizant; Pune District; Híbrido; INR 450 000 - 650 000; Tempo integral

Resumo da oferta

Cognizant in Pune is seeking a hybrid role expert in insurance claims to deliver accurate support for customer service and domain driven activities. You will rotate shifts without travel and analyze claims, guiding stakeholders on process nuances.

The role focuses on ensuring adherence to standards, improving turnaround times, and collaborating with training and quality teams to share real-world case insights.

Qualificações

• Two to four years of hands-on experience in processing or supporting claims operations.
• Strong customer service skills including active listening and clear communication.
• Foundational knowledge of property and casualty insurance concepts.
• Proficiency with standard office tools and claims applications to log cases and generate reports.

Responsabilidades

• Analyze incoming insurance claims and customer service requests to validate coverage and ensure accurate processing.
• Handle multi-channel customer interactions, explaining claims status and next steps.
• Coordinate with operations to streamline claim intake and improve turnaround times.
• Perform end-to-end documentation checks to ensure data completeness and compliance.
• Investigate claim details using systems to identify inconsistencies and escalate when needed.
• Provide feedback to improve processes, scripts, and training materials.

Conhecimentos

Customer service

Analytical thinking

Communication

Documentation

Formação académica

Bachelor's degree in related field

Ferramentas

MS Office

Claims systems

Descrição da oferta de emprego

Job Summary

This hybrid role as a subject matter expert in insurance claims focuses on delivering accurate and timely support for customer service and domain driven activities within a multinational organization. The professional will analyze claims guide stakeholders on process nuances and ensure consistent adherence to standards while working in rotational shifts without travel. Their work will help enhance customer trust and operational excellence in the insurance services portfolio.

Responsibilities

• Analyze incoming insurance claims and related customer service requests to validate coverage identify documentation gaps and ensure that each case is processed accurately in line with internal guidelines and domain standards.
• Handle customer service interactions across multiple channels to provide clear explanations on claims status required next steps and resolution timelines while maintaining a calm and empathetic communication style.
• Coordinate with internal operations teams to streamline claim intake and assessment workflows and contribute to improved turnaround time and reduced rework through detailed case reviews.
• Perform end to end documentation checks on claims files to confirm that information is complete consistent and compliant with process rules thereby reducing downstream processing issues.
• Investigate claim details using available systems and tools to highlight potential inconsistencies and escalates complex or ambiguous cases according to defined escalation paths.
• Provide structured feedback on recurring customer service issues and claim processing pain points helping product and process owners refine procedures and service scripts.
• Support continuous improvement initiatives by tracking key performance metrics related to claim resolution accuracy customer satisfaction scores and cycle time and by suggesting practical enhancements.
• Collaborate with training and quality teams by sharing real world case scenarios and insights from daily work to shape more effective learning materials and quality checklists.
• Contribute to knowledge base updates by drafting clear process notes and frequently asked questions that help colleagues resolve claims and customer queries more efficiently.
• Adapt to a rotational shift environment by managing workload intelligently and maintaining a consistent level of responsiveness and quality regardless of shift timing.
• Utilize hybrid work arrangements effectively by maintaining secure and confidential handling of sensitive claim information both on site and remotely in accordance with company policies.
• Support the company purpose by helping customers navigate stressful claim situations with clarity and fairness thereby strengthening trust in the organization and its insurance service offerings.
• Participate in cross functional discussions to represent claims and customer service perspectives ensuring that operational changes positively impact end customers and broader society through reliable risk protection.

Qualifications

• Demonstrate solid experience in insurance claims domain activities with two to four years of hands on involvement in processing or supporting claims operations in a professional setting.
• Show strong customer service skills including active listening precise communication and issue resolution capabilities that drive high satisfaction and minimize repeated contacts.
• Apply foundation knowledge of property and casualty insurance concepts such as policy coverage limits deductibles exclusions and claim life cycle to interpret case details effectively.
• Exhibit proficiency in working with standard office productivity tools and claims related applications to log cases update records and generate simple reports for stakeholders.
• Display adaptability in hybrid work and rotational shifts by organizing tasks efficiently managing time constraints and maintaining consistent performance levels.
• Demonstrate analytical thinking and attention to detail when reviewing claim facts and customer information which supports accurate decisions and fair outcomes for all parties.
• Show openness to learn new processes regulatory updates and system enhancements in the insurance domain and translate that learning into better daily execution.

Certifications Required

Preferred certifications include insurance claims or customer service credentials such as INS or AIC or equivalent industry specific training.