Associate - Claim Intake

Description

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 professional 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

• Professional, positive, and customer-focused attitude.
• Strong 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.

About Davies

We are a specialist professional services and technology firm, working in partnership with leading insurance, highly regulated and global businesses.

We help our clients to manage risk, operate their core business processes, transform and grow. We deliver professional services and technology solutions across the risk and insurance value chain, including excellence in claims, underwriting, distribution, regulation & risk, customer experience, human capital, digital transformation & change management.

Our global team of more than 8,000 professionals operate across ten countries, including the UK & the U.S. Over the past ten years Davies has grown its annual revenues more than 20-fold, investing heavily in research & development, innovation & automation, colleague development, and client service. Today the group serves more than 1,500 insurance, financial services, public sector, and other highly regulated clients.