Claims Analyst

This is a fully remote position, open to applicants in India.

📋 Description

• Oversee the complete claims compensation procedure.

• Evaluate claims denial requests, verify data, and address claim exceptions; identify shortcomings and promptly inform customers about their coverage.

• Review claims and accompanying documentation to ensure that eligibility is logical and accurate.

• Interpret policies while analyzing claims.

• Evaluate and approve claim disbursements within the designated authority limits.

• Handle claims from assigned folders as instructed by senior management.

• Efficiently de-escalate claims that have been elevated to higher levels.

• Send responses to claimants, including letters addressing deficiencies and rejections.

• Provide timely and effective replies to clients.

• Relay updates, requests for claim information, and recommendations to relevant departments.

• Adhere to established escalation protocols and policies.

• Bring claim quality issues and outcomes to the attention of a supervisor or relevant unit.

• Accurately and descriptively document client interactions in the software; maintain a record for each action taken in relation to a claim.

• Review and monitor documentation, following up for additional information when needed.

• Oversee all claims-related tasks on a daily basis.

• Monitor claims intake and alert the supervisor of any potential backlog or delays.

• Log a minimum of 7 hours in the system each day.

• Track daily claims activities to achieve weekly targets set by senior management (40 status changes/contacts per day).

• Process at least 6 claims daily.

• Adhere to scheduled shifts, including designated lunch and break periods.

• Follow company guidelines, policies, and procedures.

⛳️ Requirements

• Bachelor’s Degree or equivalent; coursework or a degree in business, insurance, or a related field is advantageous.

• Previous experience in claims, insurance, or customer service, preferably in home warranty or property insurance.

• Strong written and verbal communication abilities, including the capacity to clearly articulate coverage decisions to customers.

• Comfort with managing a high volume of ongoing claims and transitioning between them without losing focus on details.

• Good judgment for reviewing documentation and evaluating coverage in relation to contract terms.

• Proficiency in claims management software and general computer applications.

• Demonstrated experience collaborating with U.S.-based business teams.

• Excellent written and verbal communication skills in English.

• Willingness to work during Porch’s U.S. EST business hours (7:30 PM IST – 3:30 AM IST).

• A quiet working environment.

• Internet connectivity with a minimum of 30 Mbps download and 10 Mbps upload speeds.

🏝️ Benefits

• A Night Shift Allowance is available for this role in accordance with company policy.

• Medical insurance.

• Accident insurance.

• Retirement benefits.

• 12 company-paid holidays.

• 2 flexible holidays.

• Privilege/earned leave.

• Casual/sick leave.

• Paid maternity and paternity leaves.

• Weekly wellness events.