Senior Analyst - Business- Insurance Operations

Overview

Senior Associate supporting end-to-end insurance claims and underwriting operations, ensuring cases are processed accurately, efficiently and in line with policy terms, regulatory requirements, SLAs and quality standards.

What you'll do

• Review and process insurance-related cases, including claims, underwriting requests, policy transactions, renewals, endorsements and other assigned activities.
• Validate customer, policy, coverage, risk, claim and supporting information against established guidelines and process requirements.
• Review documents for completeness, accuracy, consistency and compliance with applicable procedures.
• Assess cases based on policy terms, underwriting guidelines, claims instructions, client requirements and authorization limits.
• Identify missing information, discrepancies, exceptions and potential risks, and initiate appropriate follow-up actions.
• Coordinate with internal and external stakeholders to obtain additional information, resolve queries and complete cases within defined timelines.
• Process standard transactions and update relevant systems, workflow tools and records accurately.
• Support the identification and reporting of potential fraud, errors, policy breaches or unusual case patterns.
• Ensure all case decisions, actions, approvals, referrals and supporting documents are properly recorded.
• Maintain confidentiality and protect customer, policy, claims and business information in accordance with data protection requirements.
• Meet defined productivity, accuracy, turnaround-time, quality and service-level targets.
• Perform quality checks and take corrective action to minimize errors, rework and processing delays.
• Monitor pending cases and follow up proactively to ensure timely closure.
• Respond to routine process-related queries from stakeholders in a professional and timely manner.
• Follow standard operating procedures, internal controls, client requirements and applicable regulatory guidelines.
• Participate in quality audits, process reviews, calibration sessions and compliance checks.
• Identify process gaps and recommend improvements to enhance efficiency, quality and customer service.
• Assist with knowledge sharing, process training and mentoring of new or junior team members.
• Adapt to changes in insurance products, procedures, systems, client requirements and regulatory expectations.

Details

• Location: Gurgaon.