Claims Subject Matter Expert

About the role

As a , you will play a role in enhancing our claims processing capabilities by leveraging your extensive knowledge and experience in the insurance domain. Your expertise will be crucial in guiding our team in the development and implementation of innovative solutions that streamline claims management. This position will allow you to collaborate with cross-functional teams to ensure that our claims processes are efficient, compliant, and aligned with industry best practices.

Key facts

What you'll do

• Lead the development and refinement of claims processing workflows, ensuring they meet regulatory standards and industry benchmarks.
• Provide expert guidance to internal teams on complex claims issues, helping to resolve disputes and enhance overall claims quality.
• Collaborate with product development teams to design and implement technology solutions that improve claims processing efficiency and accuracy.
• Conduct thorough analyses of claims data to identify trends, areas for improvement, and opportunities for innovation within the claims process.
• Develop and deliver training programs for claims staff, focusing on best practices, compliance requirements, and the use of technology in claims management.
• Act as a liaison between claims operations and other departments, ensuring that all stakeholders are informed and aligned on claims-related initiatives.
• Monitor and evaluate the effectiveness of claims processes, making recommendations for enhancements based on data-driven insights.
• Stay updated on industry trends, regulatory changes, and emerging technologies that could impact claims management, sharing insights with the team.
• Support the implementation of new claims management systems and tools, ensuring a smooth transition and user adoption.
• Participate in audits and compliance reviews, providing necessary documentation and insights to demonstrate adherence to standards.
• Engage with external partners and vendors to assess their claims-related offerings and identify opportunities for collaboration.
• Contribute to the development of strategic initiatives aimed at improving customer satisfaction and operational efficiency in claims handling.

Requirements

• A minimum of 5 years of experience in claims management or a related field within the insurance industry.
• In-depth knowledge of claims processing, regulations, and best practices, with a strong focus on compliance and quality assurance.
• Proven track record of successfully leading projects or initiatives that have resulted in measurable improvements in claims operations.
• Strong analytical skills, with the ability to interpret complex data and make informed decisions based on findings.
• Excellent communication and interpersonal skills, capable of working effectively with diverse teams and stakeholders.
• Familiarity with claims management software and tools, as well as emerging technologies in the insurance sector.
• Ability to work independently and manage multiple priorities in a fast-paced environment.
• A degree in business, finance, insurance, or a related field is preferred.

Nice to have

• Professional certifications related to claims management or insurance, such as CPCU or AIC.
• Experience with data analytics tools and methodologies, enhancing the ability to drive insights from claims data.
• Previous experience in a technology-driven environment, particularly in roles focused on process improvement or automation.
• Knowledge of customer relationship management (CRM) systems and their integration with claims processes.

Skills & tools

• Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word) for data analysis and presentation.
• Familiarity with claims management software, such as Guidewire or similar platforms.
• Strong problem-solving skills and the ability to think critically about claims processes and workflows.
• Excellent organizational skills, with a keen attention to detail and the ability to manage time effectively.

Practical notes

• This position is based in Bangalore, Karnataka, and may require occasional travel for training or collaboration with external partners.
• Candidates must be eligible to work in India and may need to provide documentation for visa sponsorship if applicable.
• The role may involve flexible working hours to accommodate collaboration with teams in different time zones.

META

Company: Infrrd

Title: Claims Subject Matter Expert

Listed

location: Bangalore, Karnataka

Job type: Full-time

Apply URL: https://infrrd.bamboohr.com/careers/223