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WNS

Global BPM and analytics services provider

Lead Associate - Operations

Claims AdjudicationConfirmed live in the last 24 hours
Full-timeSutherland, AustraliaNo salary listedIn-person

About the Job

Requirements

  • Apply exploratory questioning, policy interpretation, judgement, and analysis to determine insurance claim coverage.
  • Interpret and apply claim policies, processes, applicable laws, policy limits, and delegations of authority.
  • Communicate clearly, completely, and accurately with customers about claim processes and outcomes.
  • Negotiate and collect customer excess payments and educate customers about payment options.
  • Manage customer, supplier, repairer, and third-party enquiries, correspondence, and complaints within agreed timeframes and obligations.
  • Relevant tertiary qualification in Business, Finance, or Commerce is desired.
  • Participate in performance review processes and pursue personal development and professional learning goals.

Responsibilities

  • Lodge new insurance claims for customers and intermediaries.
  • Set clear expectations about the claim process and explain how claims will be managed.
  • Manage existing claims through customer channels, focusing on cost management, progression, and finalisation.
  • Apply correct policy limits, applicable laws, preferred suppliers, and repair methods to manage claims costs and financial outcomes.
  • Complete a claim review at each claim touch and liaise with suppliers and repairers to ensure timely replacement or repair.
  • Progress claims efficiently while contributing to reductions in customer claim lifecycles and effective financial management.
  • Identify opportunities to improve processes and systems and participate in testing them.
  • Make decisions within policy guidelines and delegated authorities to achieve appropriate outcomes for customers and the organisation.
  • Assist team members and undertake other responsibilities and activities that contribute to overall portfolio health.

Desired Qualifications

  • Relevant tertiary qualification in Business, Finance, or Commerce.

About the Company

WNS

Global BPM and analytics services provider

WNS provides business process management and analytics services to large enterprises. It helps clients improve operational efficiency, customer experience, and decision-making by delivering end-to-end BPM, research and analytics, finance and accounting, and digital transformation support across industries such as insurance, banking, healthcare, travel, and manufacturing. The company combines domain expertise with technologies like artificial intelligence, machine learning, and advanced analytics to create custom, data-driven solutions. Delivery centers worldwide enable scalable, agile service delivery and access to specialized talent, while a digital-first approach focuses on automation, cognitive computing, and data insights. WNS aims to form long-term partnerships that deliver measurable business impact across the value chain.

Company size
10,001+
Company stage
Acquired
Total funding
$3.3B
Headquarters
Mumbai, India
Founded
1996

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