The primary function of this role is to support the PCM Claims Intake process by accurately setting up claims, reviewing intake documentation, routing claims to the appropriate adjusters, and maintaining service quality standards.

Key Responsibilities

Claim Setup and Intake Processing
Perform claim setup activities for Property (Pet) and Casualty claims as per SOP.
Review claim submission documents, emails, and supporting information.
Run loss reports as required by SOP

Assignment and Routing Responsibilities
Assign claims to onshore claim adjusters as per SOP
Ensure timely claim routing and workflow management

Communication Responsibilities
Send acknowledgment (ACK) letters to onshore teams for review.
Maintain qualified communication with stakeholders.

Systems and Documentation Requirements
Utilize W5 and related claims systems.
Review policy documents using Foxit Reader

Escalation Procedures
Team Lead/Manager Pune Team




AVP Operations Pune Team
VP Operations Pune Team

Reporting and Quality Expectations
Maintain 95% quality accuracy.
Meet weekly production targets.
Weekly production and accuracy reports shared by Team Lead/Manager.

Cross-Training and Backup Responsibilities
Actively participates in cross-training and provides backup support across BAU processes, ensuring business continuity, operational flexibility, and consistent service delivery during team absences or peak workload periods.

Skills, Knowledge and Expertise
Skilled, positive, and customer-focused attitude.
Robust written and verbal communication skills.
Attention to detail and ability to follow SOPs.
Ability to manage multiple priorities and meet production targets.
Prior insurance claims experience preferred.

📌 Claim Intake Specialist Pcm Pune (India)
🏢 Davies
📍 India