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Claims Call Center

Fulcrum Digital


Job Location:

Pune - India

Monthly Salary: Not provided by the employer
Experience Required: 4-8years
Posted: 19 August 2026 (14 hours ago)
Application Deadline: 16 November 2026
Vacancies: 1 Vacancy

Job Summary

Job Title: Claims Call Center Representative P&C Insurance
Experience

3 years of experience in insurance claims customer service or claims call center operations.
Experience in Property & Casualty (P&C) Insurance is preferred.

Role Summary

We are looking for an experienced Claims Call Center Representative to handle customer interactions related to Property & Casualty insurance claims. The role will be responsible for managing First Notice of Loss (FNOL) responding to claim-related inquiries providing claim status updates verifying policy information and coordinating with internal claims teams to ensure timely and accurate resolution.

Key Responsibilities
  • Handle inbound customer calls related to insurance claims FNOL claim status coverage payments and settlements.
  • Accurately capture and document claim information during the FNOL process.
  • Verify policy details coverage limits deductibles and claim status.
  • Explain claims procedures required documentation and next steps to customers.
  • Provide timely and accurate updates on claim progress.
  • Address customer questions and resolve routine claim-related issues during the call.
  • Coordinate with claims adjusters brokers agents payment teams and internal departments to resolve customer queries.
  • Follow up on outstanding claim information and documentation when required.
  • Identify and escalate complex claims complaints coverage issues or service requests to the appropriate team.
  • Maintain accurate customer claim and call records in the relevant systems.
  • Ensure all interactions are handled within defined SLAs quality standards and compliance requirements.
  • Handle sensitive customer situations professionally and demonstrate empathy during claim interactions.
  • Identify recurring customer issues and provide feedback to improve claims processes and customer experience.
  • Follow company policies regulatory requirements data privacy guidelines and claims handling procedures.
Required Skills
  • Strong understanding of P&C insurance and claims processes.
  • Experience handling customer calls in an insurance/claims environment.
  • Strong verbal and written communication skills.
  • Excellent customer service and active listening skills.
  • Ability to handle difficult or escalated customer interactions professionally.
  • Strong problem-solving and decision-making skills.
  • Good attention to detail and accurate documentation skills.
  • Ability to manage high call volumes and multiple customer requests.
  • Ability to work effectively within a team and meet defined SLAs/KPIs.
  • Good working knowledge of MS Office and claims/customer service applications.
Key Performance Areas
  • Call quality and customer satisfaction.
  • FNOL and claim information accuracy.
  • First-call resolution and effective query handling.
  • Adherence to SLAs and turnaround times.
  • Documentation and data accuracy.
  • Compliance with claims and customer service procedures.



Required Skills:

Role Summary We are looking for an experienced Salesforce Solution Architect / Functional Lead to drive the design and implementation of scalable Salesforce solutions. This role will focus on CRM data migration platform enablement and building a robust data model to support alumni marketing and engagement functions. The ideal candidate will bridge business needs with technical architecture while ensuring high-quality future-ready solutions. Key Responsibilities Lead the design and implementation of Salesforce solutions aligned with business objectives. Define and design a comprehensive Salesforce data model to support alumni marketing and engagement data. Establish lifecycle stages relationship structures and data hierarchies. Design and govern data migration architecture including mapping transformation and validation strategies. Define and enforce data governance quality and deduplication rules. Conduct solution workshops to gather requirements and translate them into scalable system designs. Provide architectural guidance and oversight to configuration development and migration teams. Ensure the platform supports reporting segmentation and operational efficiency. Collaborate with stakeholders to continuously improve system usability and performance. Required Skills & Experience Strong experience in Salesforce architecture and solution design. Expertise in CRM data modeling and data structures. Proven experience in designing and executing data migration frameworks. Solid understanding of data governance data quality and deduplication strategies. Ability to translate business workflows into scalable system architecture. Excellent stakeholder management and communication skills. Preferred Qualifications Salesforce certifications (e.g. Application/System Architect Data Architecture). Experience working with large-scale CRM transformations or migrations. Familiarity with marketing automation and engagement platforms. Key Competencies Strategic thinking and problem-solving Strong analytical and decision-making skills Leadership and collaboration Attention to detail with a focus on data quality