This hybrid role offers an opportunity for an experienced subject matter expert in insurance claims to support customer service operations within a multinational organization. The role focuses on delivering accurate and timely claims support enhancing customer experience and ensuring adherence to insurance domain standards while working in rotational shifts within a collaborative and diverse workplace.
Responsibilities
- Manage complex insurance claims by validating information coordinating with internal stakeholders and ensuring accurate resolution that aligns with organizational standards and customer expectations.
- Provide specialized support for customer inquiries related to claim status policy coverage and documentation requirements to deliver a consistent and empathetic service experience.
- Analyze claim trends and service patterns to identify recurring issues propose process enhancements and support continuous improvement initiatives within the claims function.
- Collaborate with operations teams to align claim handling practices with regulatory guidelines internal policies and domain best practices for insurance claims management.
- Document claim decisions and customer interactions in a clear and structured manner to maintain transparent records that support audits reviews and internal reporting.
- Coordinate with quality and training teams to share insights from daily claims handling enabling targeted coaching and updated reference materials for customer service teams.
- Support rotational shift operations by adapting to different time zones and workload variations while maintaining consistent service quality and adherence to service level expectations.
- Assist in stabilizing new process changes by providing feedback on workflow updates identifying potential operational risks and suggesting corrective actions.
- Guide junior team members on claims procedures and customer service etiquette by sharing domain knowledge and practical case sc
📌 SME-Ins Claims (Pune)
🏢 Cognizant
📍 Pune
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