Job Description

Who are we

Fulcrum Digital is an agile and next-generation digital accelerating company providing digital transformation and technology services right from ideation to implementation.
These services have applicability across a variety of Industry including banking & financial services, insurance, retail, higher education, food, healthcare, and manufacturing. Headquartered in the bustling city of New Jersey, Fulcrum was rated among the fastest growing Software Companies in Inc 5000 Club and No. 7 Technology firm in New Jersey by NJ Biz.


Our team of business and technical consultants are spread across the US and other regions including the UK, Portugal, LATAM, Australia, and Finland where we have our operations.

The Role

Must have experience in insurance Domain, Property & Casualty, medical health Claims processing and Operations. Create, update, and maintain operations / SOP documents and access systems on behalf of the Claims leadership group and provide the right data to them. Need ability to operate effectively at all levels, from managing front line employees to interacting with executives. Demonstrate ability to identify and implement efficiencies within an operations environment. Need ability to manage operational inventory to meet stated Service Level Agreements. Ensure that all activity is properly documented within the appropriate Client system. Communicate with Global Claims relationship managers to support their delivery and execution of the global claims strategy to assigned carriers and promote continued engagement. Manage and process claims related to property damage, personal injury, and liability. Investigate the validity of claims, assess coverage, and ensure accurate settlement outcomes. Collaborate with adjusters, legal teams, and clients to resolve claims efficiently. Review policy details with clients to ensure clear understanding and compliance. Maintain accurate records of policies, claims, communications, and necessary documentation.

Requirements

Good verbal and written communication skills. Knowledge on how to use claims processing tools like File Handler Must be able to communicate with onsite people. Working knowledge of Medical health claims processing. Experience in working for medical stop loss and healthcare industry for US Clients Need ability to operate effectively at all levels, from managing front line employees to interacting with executives Demonstrate ability to identify and implement efficiencies within an operations environment Need ability to manage operational inventory to meet stated Service Level Agreements Ensure that all activity is properly documented within the appropriate Client system Communicate with Global Claims relationship managers to support their delivery and execution of the global claims strategy to assigned carriers and promote continued engagement

Job Opening ID


RRF_5424
Job Type


Permanent
Industry


IT Services
Date Opened


20/06/2025
City


Pune
Province


Maharashtra
Country


India
Postal Code


411057