Role Overview:
Key Responsibilities:
- Process and adjudicate Life Insurance and Living Advantages Claimsfor Canadian policyholders in accordance with company guidelines, service-level agreements (SLAs), and regulatory requirements.
- Review claim documentation, validate policy provisions, assess eligibility, and determine claim outcomes with accuracy and attention to detail.
- Coordinate with onshore teams, business partners, and clients to resolve claim-related queries and ensure seamless transaction processing.
- Manage claim cases from initiation through closure, ensuring all required documentation is collected, reviewed, and maintained.
- Identify missing information and proactively follow up with customers, beneficiaries, healthcare providers, or internal stakeholders to facilitate claim completion.
- Maintain accurate records and update claims management systems with all relevant activities and decisions.
- Monitor claim turnaround times and ensure adherence to quality standards and operational KPIs.




- Support investigations and escalation management for complex or exceptional claim scenarios.
- Participate in process improvement initiatives aimed at enhancing operational efficiency, customer experience, and quality outcomes.
- Ensure compliance with Canadian insurance regulations, internal policies, and data privacy requirements.
- Collaborate with quality, training, and operations teams to drive continuous process improvement and operational excellence.

Required Skills & Qualifications:
- Minimum 6-7 years of experiencein Life Insurance and/or Living Benefits Claims Processing.
- Strong understanding of insurance products, policy administration, claims adjudication, and customer servicing.
- Fluent French language proficiency (spoken and written)is mandatory.
- Excellent verbal and written communication skills in English.
- Ability to interact professionally with clients, stakeholders, and cross-functional teams across geographies.
- Experience working with

📌 Senior Analyst I Business Process Transactions (Haryana)
🏢 2062 CSC India
📍 Haryana