SME/FE Claims

Position: Claims –SME/ Functional Expert

Location: Noida
Work Mode: Hybrid (3 Days Office + 2 Days Work From Home)
Shift: General Shift

Role Overview

We are looking for a Claims Functional Expert with strong experience in UK/Lloyds Insurance Claims operations. The ideal candidate should have expertise in end-to-end claims processing, insurance/reinsurance lines of business, quality management, client coordination, and process improvement initiatives.

Key Skills & Experience Required

• Strong understanding of UK/Lloyds Insurance & end-to-end Claims lifecycle
• Hands-on experience in FNOL & SNOL settlement
• Knowledge of Document Management & Claims processing workflows
• Good understanding of end-to-end Lloyds broking process (preferred)
• Expertise across Insurance/Reinsurance Lines of Business, including:
  • Workers Compensation / Employers Liability
  • Specialty Insurance
  • General Liability
  • Professional Liability
  • Auto/Motor Liability
  • Property Claims
• Experience handling UK Claims processes and client-facing activities
• Strong analytical, decision-making, and problem-solving skills
• Excellent written and verbal communication skills

Key Responsibilities

• Review detailed claims documents received from Brokers, TPAs, or Cedants and update claim systems accurately
• Ensure timely resolution of queries from Brokers, Cedants, and TPAs
• Process claims within defined SLAs and quality parameters
• Ensure First Time Right (FTR) processing and real-time documentation updates
• Validate documentation completeness and compliance with quality standards (ISO, COPIS, etc.)
• Coordinate with clients on process-related issues, updates, and improvements
• Conduct team reviews and share progress reports with management
• Identify opportunities for process enhancement and recommend improvement initiatives
• Maintain process learning records and ensure knowledge alignment
• Prepare and present monthly dashboards, error trend analysis, and performance reports
• Ensure team performance meets/exceeds client service and quality expectations
• Participate in client calls and discussions
• Support team members in processing various activities across the claims lifecycle
• Analyze and update data in relevant systems/databases
• Ensure adherence to defined SLAs covering:
  • Productivity
  • Turnaround Time (TAT)
  • Accuracy
  • Timely maintenance of trackers and reports

Qualification & Competencies

• Graduate/Postgraduate
• 4–6 years of experience in Insurance Claims Operations (UK Market preferred)
• Strong knowledge of Insurance/Reinsurance processes
• Excellent communication and stakeholder management skills
• Ability to analyze information and make decisions based on policies
• Strong ownership, accountability, and customer focus
• Ability to manage priorities and organize work effectively
• Team player with leadership and mentoring capabilities