Back Office Claims Specialist (For Pooling)

We are seeking a detail-oriented and analytical Back Office Claims Specialist to join our operations this role you will be responsible for reviewing processing and resolving insurance or financial claims efficiently while adhering to company policies and regulatory guidelines. This is a pure back-office role focusing on administrative accuracy data verification and workflow management without direct cold calling or sales responsibilities.

Claims Processing: Review incoming claims supporting documentation and account history to verify eligibility and accuracy.

Data Verification: Cross-reference claim details against policy guidelines internal databases and system records.

Investigation & Assessment: Identify discrepancies potential fraud or missing documentation escalating complex cases to team leads when necessary.

System Operations: Accurate input and status tracking of claims using internal software and document management systems.

Vendor & Internal Liaison: Communicate via email and internal ticketing systems with internal teams third-party adjusters or partner departments to complete claim files.

Compliance & Auditing: Maintain strict adherence to industry regulations data privacy standards and quality assurance benchmarks.

Experience: 13 years of experience in back-office operations claims processing data entry or administrative support (Insurance or Banking background preferred).

Technical Skills:

Proficiency in MS Office (Excel Word) and web-based database management systems.
Experience with claims management software or CRM platforms is a plus.

Soft Skills:
Strong analytical skills and exceptional attention to detail.
Excellent written communication skills for documentation and internal correspondence.

Ability to manage time effectively and meet daily output targets in a fast-paced environment.

• Customer Care

Together as owners lets turn meaningful insights into action.

Life at CGI is rooted in ownership teamwork respect and belonging. Here youll reach your full potential because

You are invited to be an owner from day 1 as we work together to bring our Dream to life. Thats why we call ourselves CGI Partners rather than employees. We benefit from our collective success and actively shape our companys strategy and direction.

Your work creates value. Youll develop innovative solutions and build relationships with teammates and clients while accessing global capabilities to scale your ideas embrace new opportunities and benefit from expansive industry and technology expertise.

Youll shape your career by joining a company built to grow and last. Youll be supported by leaders who care about your health and well-being and provide you with opportunities to deepen your skills and broaden your horizons.

That same commitment to fairness extends to how we use technology. To support our recruitment team AI tools may be used to help assess applications though they never replace human judgement. All hiring decisions remain entirely in the hands of our recruitment professionals.

Come join our teamone of the largest IT and business consulting services firms in the world.