SME-Ins Claims

Cognizant · Pune, Maharashtra · Posted 2 days ago

About this role

Job Summary This hybrid role offers an opportunity for an experienced subject matter expert in insurance claims to support customer service operations within a multinational organization. The role focuses on delivering accurate and timely claims support enhancing customer experience and ensuring adherence to insurance domain standards while working in rotational shifts within a collaborative and diverse environment. Responsibilities • Manage complex insurance claims by validating information coordinating with internal stakeholders and ensuring accurate resolution that aligns with organizational standards and customer expectations. • Provide specialized support for customer inquiries related to claim status policy coverage and documentation requirements to deliver a consistent and empathetic service experience. • Analyze claim trends and service patterns to identify recurring issues propose process enhancements and support continuous improvement initiatives within the claims function. • Collaborate with operations teams to align claim handling practices with regulatory guidelines internal policies and domain best practices for insurance claims management. • Document claim decisions and customer interactions in a clear and structured manner to maintain transparent records that support audits reviews and internal reporting. • Coordinate with quality and training teams to share insights from daily claims handling enabling targeted coaching and updated reference materials for cust