Claims Analyst

Accountabilities • Manage the full claim compensation process, including reviewing submissions, documentation, denials, exceptions, and coverage eligibility.

• Analyze claims and supporting evidence to determine whether requests meet applicable policy or contract requirements.

• Interpret coverage provisions and authorize claim payouts within the assigned authority limits.

• Identify missing or inaccurate information, flag deficiencies, and ensure customers receive timely updates regarding coverage decisions.

• Handle escalated claims professionally, applying established escalation protocols and resolving issues efficiently.

• Prepare clear claimant communications, including deficiency and rejection notifications.

• Communicate claim updates, information requests, recommendations, and outcomes to relevant internal teams.

• Escalate claim-quality concerns and complex outcomes to supervisors or appropriate specialist teams.

• Maintain accurate and comprehensive claim notes documenting every action and customer interaction.

• Review, track, and follow up on required documentation and additional information.

• Monitor daily claims intake and proactively flag potential backlogs or processing delays.

• Maintain required system log time and productivity levels, including daily claim contacts/status changes and minimum processing targets.

• Follow assigned work schedules, operational procedures, policies, and quality standards.

Requirements

• Bachelor’s degree or equivalent experience; coursework or a degree in business, insurance, or a related discipline is an advantage.

• Previous experience in claims, insurance, customer service, home warranty, property insurance, or a closely related field.

• Experience working with U.S.-based business teams and familiarity with U.S. business hours.

• Strong understanding of reviewing documentation and assessing coverage against contractual or policy terms.

• Sound judgment and analytical skills, with the ability to make accurate decisions based on available evidence.

• Strong written and verbal English communication skills, particularly the ability to explain coverage decisions clearly and professionally.

• Experience using claims management systems and general computer applications.

• Ability to manage a high volume of open claims while maintaining accuracy, organization, and attention to detail.

• Strong time-management skills and the ability to meet defined daily and weekly productivity targets.

• Ability to handle escalations calmly and communicate effectively with customers and internal stakeholders.

• Comfortable working independently in a remote environment while following established processes and procedures.

• Availability to work the full U.S. Eastern Time business-hours overlap of approximately 7:30 PM–3:30 AM IST .

• Ability to maintain a quiet remote workspace with an internet connection of at least 30 Mbps download / 10 Mbps upload .

Benefits

• Annual compensation range of ₹600,000–₹840,000 , depending on experience, skills, knowledge, market alignment, and location.

• Night shift allowance in accordance with applicable company policy.

• Fully remote work arrangement in India.

• Medical insurance and accident insurance.

• Retirement benefits.

• 12 company-paid holidays.

• 2 flexible holidays.

• Privilege/earned leave and casual/sick leave.

• Paid maternity and paternity leave.

• Weekly wellness events and wellness programs.

• Opportunity to work within a global, inclusive, and collaborative environment.

How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether?

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