Operations Support - Claims (Rockville)

Fulcrum Digital
महाराष्ट्र
पूर्णकालिक
2 सप्ताह पहले

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 Industry including banking & financial services, insurance, retail, higher education, food, healthcare, and manufacturing. Headquartered in the bustling city of New Jersey, Fulcrum was rated among the fastest growing Software Companies in Inc 5000 Club and No. 7 Technology firm in New Jersey by NJ Biz.
Our team of business and technical consultants are spread across the US and other regions including the UK, Portugal, LATAM, Australia, and Finland where we have our operations.

The Role

  • Must have experience in the insurance domain, specifically in Property & Casualty, claims processing, and operations.
  • Create, update, and maintain operational and SOP documents; manage system access for the Claims leadership team and provide accurate data.
  • Able to work effectively at all levels from managing frontline employees to engaging with executives.
  • Demonstrated ability to identify and implement process improvements within an operations environment.
  • Skilled in managing operational inventory to meet defined Service Level Agreements (SLAs).
  • Ensure all activities are accurately documented in the appropriate client systems.
  • Communicate with Global Claims Relationship Managers to support the execution of global claims strategies and ensure ongoing engagement with assigned carriers.
  • Handle and process claims related to Auto Liability, property damage, personal injury, and liability.
  • Investigate claims, verify coverage, and claim details, and ensure accurate and fair claim submission.
  • Collaborate with adjusters, legal teams, and clients to resolve claims efficiently.
  • Review policy details with clients to ensure clarity and compliance.
  • Maintain detailed and accurate records of policies, claims, communications, and related documentation.


Requirements


  • Strong verbal and written communication skills.
  • Familiar with claims processing tools, such as FileHandler.
  • Able to communicate effectively with onsite teams and stakeholders.
  • Capable of operating at all organizational levels from managing frontline staff to interacting with executives.
  • Proven ability to identify and implement process improvements in an operations environment.
  • Skilled in managing operational inventory to meet established Service Level Agreements (SLAs).
  • Ensure all activities are accurately documented in the appropriate client systems.
  • Collaborate with Global Claims Relationship Managers to support the execution of global claims strategies and maintain carrier engagement.


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