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SME-Ins Claims

00069339091



Job Summary

This hybrid role offers an opportunity for an experienced subject matter expert in insurance claims to support customer service operations within a multinational organization. The role focuses on delivering accurate and timely claims support enhancing customer experience and ensuring adherence to insurance domain standards while working in rotational shifts within a collaborative and diverse environment.


Responsibilities

  • Manage complex insurance claims by validating information coordinating with internal stakeholders and ensuring accurate resolution that aligns with organizational standards and customer expectations.
  • Provide specialized support for customer inquiries related to claim status policy coverage and documentation requirements to deliver a consistent and empathetic service experience.
  • Analyze claim trends and service patterns to identify recurring issues propose process enhancements and support continuous improvement initiatives within the claims function.
  • Collaborate with operations teams to align claim handling practices with regulatory guidelines internal policies and domain best practices for insurance claims management.
  • Document claim decisions and customer interactions in a clear and structured manner to maintain transparent records that support audits reviews and internal reporting.
  • Coordinate with quality and training teams to share insights from daily claims handling enabling targeted coaching and updated reference materials for customer service teams.
  • Support rotational shift operations by adapting to different time zones and workload variations while maintaining consistent service quality and adherence to service level expectations.
  • Assist in stabilizing new process changes by providing feedback on workflow updates identifying potential operational risks and suggesting corrective actions.
  • Guide junior team members on claims procedures and customer service etiquette by sharing domain knowledge and practical case scenarios that support on the job learning.
  • Contribute to customer satisfaction initiatives by identifying opportunities to simplify communication reduce claim handling time and improve first contact resolution.
  • Engage with technology and support teams to report system issues suggest enhancements for claims tools and help test new functionalities that improve daily operations.
  • Ensure compliance with data privacy and confidentiality standards in all customer and claim related interactions to safeguard sensitive information and uphold company obligations.
  • Participate in hybrid work arrangements by effectively managing onsite and remote responsibilities while maintaining collaboration with cross functional teams.

  • Qualifications

  • Possess five to eight years of hands on experience in insurance claims or related domain with strong exposure to customer service operations in a high volume environment.
  • Demonstrate solid understanding of insurance concepts and claim lifecycle including intake assessment investigation settlement and closure within an organized workflow.
  • Apply advanced customer service skills such as active listening clear communication and issue resolution to manage challenging customer interactions.
  • Leverage experience in property and casualty insurance where available to handle specialized claim scenarios and support domain specific queries from internal teams.
  • Utilize analytical skills to interpret claim data identify anomalies and support root cause analysis for process related issues.
  • Adapt to rotational shifts by managing time effectively and maintaining work performance and reliability across varying schedules.
  • Use collaboration and communication tools efficiently in a hybrid model to stay aligned with team objectives and operational updates.
  • Exhibit familiarity with standard office productivity tools and claims management systems to perform daily tasks efficiently and accurately.
  • Show commitment to continuous learning by keeping knowledge current on insurance regulations market practices and internal process updates.

  • Certifications Required

    Preferred certifications include insurance domain certifications such as AINS or equivalent customer service certification relevant to claims management.


    What we offer

    • The chance to work with impact. Here, you’re empowered to bring your biggest thinking to help our company and clients improve everyday life.
    • Ownership over your career. Stay at the top of your game through our award-winning learning and development ecosystem. And when your ambitions change or we offer new opportunities, we help you pivot by providing reskilling, on-the-job learning and guidance to find new roles that might be a better fit.
    • The opportunity to thrive on a high caliber team with heart. We celebrate each other’s experiences and perspectives and promote a sense of belonging through our affinity groups and diversity and inclusion initiatives.
    • A comprehensive total rewards package, including a competitive salary and a pension plan with matching contributions.
    • Flexible health and financial benefits to support you and your eligible dependents—from day one.
    • True work-life balance. Be at your best through paid time off, flexible work arrangements, volunteering opportunities, social events, and so much more.  

    About us
    Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, building the bridge between AI investment and enterprise value by building full-stack AI solutions for our clients. Our deep industry, process and engineering expertise enables us to build an organization’s unique context into technology systems that amplify human potential, realize tangible returns and keep global enterprises ahead in a fast-changing world. See how at www.cognizant.com or @cognizant.

    Other employment-related information
    Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, provincial or local laws.

    If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email [email protected] with your request and contact information.

    Language requirements vary depending on roles, but we ask that all candidates have basic English proficiency for company-wide communications purposes. For roles based in Quebec, professional English proficiency is required, as you’ll deliver services to and collaborate with stakeholders outside the province who may not speak French.

    Your path to Cognizant

    Wondering what to expect after you apply? Here’s a peek at our recruitment process—and keep in mind that not all candidates advance through every step and the process may vary depending on your role and location.

    Your Application Midnight Blue RGB

    Step 1: Application

    Find an open role that aligns with your skills and career goals and show us why you’re the person for the job. Consider joining our Talent Community if you don’t find the right opportunity.

    Phone Call Midnight Blue RGB

    Step 2: Recruiter call

    If one of our recruiters sees a fit, they’ll set up a short introductory call to learn more about you and how your experiences and skills align with the role.

    Step 3: Interview(s)

    If you and our team would like to continue the process, you’ll meet with one of our hiring managers. Some roles may also require technical assessments and/or client interviews.

    Step 4: Final decision

    Our hiring team will then review each candidates’ potential to succeed in the role. This process may take some time because we want to get it right—but you can count on us to keep you updated.

    Benefits that help you thrive and grow

    Our teams achieve incredible things when they feel fully supported. That’s why our benefits program is built around the diverse needs of our people—so they can enjoy a fulfilling, balanced and healthy life.

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    Financial wellbeing

    Financial wellbeing

    We regularly review market data to ensure compensation is competitive and reflects the value you bring. Your benefits extend beyond pay and may include retirement plans, financial education, discount programs, etc.

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    Physical and mental wellbeing

    Physical and mental wellbeing

    We empower you to prioritize your wellbeing through paid time off, flexible working where possible, healthcare plans, counselling, our Mental Health Allyship program and more. 

    Your Career, Your Way
    Your career, your way

    Your career, your way

    With 90% of our associates building skills through GenAI training, job shadowing, industry certifications and more, you have everything you need to build a full career.

    Professionals
    Real-world impact

    Real-world impact

    Think about the biggest brands you rely on. Chances are, they rely on us to help strengthen their business. Here, you’ll turn bold ideas into solutions that improve lives everywhere.

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