claims analyst

Opportunity for Claims Analyst - Fulcrum Digital, Pune - Remote

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 professional 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.