08 Sep
|
Fulcrum Digital
|
Pune
08 Sep
Fulcrum Digital
Pune
Who are we
Fulcrum Digital is an agile and next-generation digital accelerating company providing digital transformation and technology services right from ideation to implementation. These services have applicability across a variety of industries, including banking & financial services, insurance, retail, higher education, food, healthcare, and manufacturing.
About the role
Job Description: Operations Claims
Experience - 5 - 10 yrs
- Business acumen
- Data analysis and Excel proficiency
- Digital/technology fluency
- Problem-solving and analytical thinking
- Ability to work with ambiguity
- Strong written and oral communication skills
- Reviewed potential future responsibilities which may including TPA Reconciliation, Executive Lines support, FNOL, and other complex claims functions. Experience in the US Property and Casualty domain required.
- Need candidates with relevant insurance experience and strong communication skills.
Responsibilities –
- Perform First Notice of Loss (FNOL) intake and setup with accuracy, completeness, and timeliness.
- Handle or support handling of multiple loss type claims, including:
- Auto
- General Liability
- Workers Compensation
- Property
- Cyber
- Apply working knowledge of coverages across the above loss types to support claim setup, investigation, and administration.
- Review policy information to confirm applicable coverage, limits, deductibles, exclusions, endorsements, and jurisdictional considerations.
- Conduct initial claim triage and ensure assignment to the appropriate claim qualified when needed.
- Coordinate with insureds, brokers, claimants, attorneys, vendors, adjusters, and internal business partners.
- Support reserve setting and reserve adjustments based on claim facts and exposure evaluation.
- Identify potential severity, litigation, fraud, subrogation, and recovery opportunities and escalate as appropriate.
- Provide professional and timely communication to all stakeholders throughout the claim lifecycle.
📌 Operations Claims (Pune)
🏢 Fulcrum Digital
📍 Pune