Summary: Claims Adjustor

Location: Pune

Work Mode: Work from Office

Shift: US Shift

Experience Required: 2 to 5 years

Core Requirements

Mandatory Experience

- 2 to 5 years of experience in Property & Casualty (P&C;) Claims Adjusting
- Strong experience in Workers' Compensation Claims
- Expertise in Claims Adjudication
- Ability to independently manage claims from initiation to closure

Preferred Experience
- Medical management
- Litigation management
- Training or mentoring claims adjusters

Certifications (Preferred)
- California Insurance Adjuster License
- Texas Insurance Adjuster License
- CPCU Certification
- AIC Certification

Candidates should be willing to obtain and maintain state-specific adjuster licenses.

Key Responsibilities

Claims Management

- Handle end-to-end workers' compensation claims
- Evaluate complex and high-value claims
- Conduct claimant, insured, and medical-provider investigations
- Assess compensability and make claim decisions
- Set and manage reserves




- Administer medical and indemnity perks
- Negotiate settlements and drive early claim resolution
- Ensure compliance with statutory and regulatory requirements
- Present claim findings to senior stakeholders

Customer Service
- Act as primary contact for agents and insureds
- Provide claim status updates and coverage guidance
- Deliver excellent service to internal and external stakeholders
- Improve claim handling processes and SOPs

Key Skills Required

Technical Skills

- Workers' Compensation Claims Handling
- Claim Adjudication
- Reserve Management
- Settlement Negotiation
- Regulatory Compliance
- Investigation & Liability Assessment

Behavioral Skills
- Strong Written & Verbal Communication
- Critical Thinking
- Analytical Skills
- Problem Solving
- Decision Making
- Stakeholder Management

📌 Claim Adjuster (Pune)
🏢 Experis
📍 Pune