Senior Analyst - Claim Operations

Introduction Welcome to Gallagher in India — where expertise, technology, and purpose come together. Since 2006, Gallagher in India has supported global teams by delivering quality, service, and speed through deep expertise, smart technology, and specialized knowledge services. More than just an operations center, it’s a place where careers grow through collaboration, continuous learning, and purposeful work. We drive efficiency, compliance, and innovation so our teams can focus on serving clients. If you enjoy solving problems and working with purpose, Gallagher is the place where you can grow and feel a sense of belonging. Overview Gallagher Center of Excellence is seeking to hire a Senior Analyst for Claims vertical. As Senior Analyst, you will be responsible to handle and execute all allocated claims in accordance with the company’s documented service standards. Your role will involve investigation, evaluation, processing, disposition and settlement of claims. You will be responsible for fostering a culture of collaboration, continuous improvement, and customer focus within the shared services team. You will be interacting with the team who are present in any of the onshore locations. Exposure to Insurance regulations and laws, claims handling procedures and Risk management principles is a definite plus. How you'll make an impact Responsibilities: Eligibility verification and completeness review. Confirm patient insurance coverage, deductibles, and eligibility against policy guidelines. Calculate the correct reimbursement amount to issue payments or formally deny/pend invalid claims. Perform benefit determination and pay/deny decisioning per plan rules. Communicate with healthcare providers, patients, and internal departments to resolve discrepancies. Follow federal/state regulations and guidelines to protect sensitive patient information (HIPAA). Mitigate organizational risk, maintaining compliance and reputation. About you Qualifications: Minimum Required Degree: Bachelor Preferred Degree: Bachelor’s degree in insurance or related field Certificate(s)/Special Training: Insurance industry certifications – AIC, AINS, Cert CII or any other relevant Insurance certification Experience (Career Level Guide): Minimum 2-3 years of experience in US Healthcare employee benefit claims Proven track record of successful claim resolutions and customer satisfaction. Strong knowledge of US Healthcare insurance regulations, policies, and procedures. Knowledge, Claims Handling Ability: Adjuster Claims & Attention to Detail Understanding of medical terminology and coding Policy & Compliance understanding like HIPAA Additional Information At Gallagher, we believe supporting our colleagues goes far beyond the role itself. For more information, visit our Benefits page. Competitive compensation Comprehensive benefits programs designed to support your well-being Career development opportunities and ongoing learning A collaborative, people-first culture with accessible leadership The opportunity to do meaningful work with global reach and local impact At Gallagher, we are dedicated to building an inclusive and authentic workplace. If your past experience doesn’t align perfectly, we encourage you to join our Talent Community to stay connected to additional career opportunities. At times, we will consider transferable skills from previous roles. Gallagher is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled)