Kunal Trivedi
Pune
Summary
Results-driven Operations Specialist with 3 years and 4 months of experience in investigating and processing insurance claims. Skilled in negotiating payment solutions and conducting quality analyses for compliance and accuracy. Collaborates effectively with teams and communicates with clients to enhance service delivery, leveraging analytical skills to improve operational efficiency.
Overview
3
3
years of professional experience
Work History
(Relevant experience) Insurance ops, specialist
AXA Global Business Services
Pune
05.2023 - 01.2026
- Utilized Guidewire software to efficiently process and settle insurance claims, significantly reducing turnaround times while maintaining strict documentation accuracy
- Negotiated settlements with third-party insurers to enhance claim recovery outcomes.
- Processing and assessing motor insurance claims to determine recovery potential.
- Issuing payments with the approval of senior management.
- Reviewing claim documents and information to verify accuracy and determine liability.
- Conducting detailed investigations and supporting the claim negotiation process.
- Coordinated with onshore team on claim progress and resolution of disputes to streamline communication.
- Communicated with clients and insurance companies to gather information and resolve discrepancies efficiently.
- Providing regular updates on claim status and assisting clients in resolving concerns.
Customer protection associate
Full potential solutions
02.2026 - Current
- Key Responsibilities:
- Monitored and analyzed customer transactions to identify suspicious activity and potential fraud patterns in cross-border remittances.
- Conducted real-time and post-transaction fraud reviews using internal tools and risk detection systems.
- Investigated flagged accounts, performed KYC/AML checks, and ensured compliance with regulatory requirements.
- Applied fraud detection rules, behavioral analysis, and risk scoring models to prevent financial losses.
- Collaborated with compliance, risk, and customer support teams to resolve fraud cases efficiently.
- Handled chargebacks, disputes, and escalations while maintaining high accuracy and SLA adherence.
- Documented fraud cases and prepared reports for internal audits and regulatory reviews.
- Continuously identified process improvement opportunities to enhance fraud detection and prevention strategies.
Education
BBA - international business
Savitribai Phule University
pune01-2022
12th - commerce
Vidya Pratishthan English Medium School
Baramati01-2019
10th - ssc
Mary Matha English Medium School
Mhaswad01-2017
Skills
- Guidewire processing
- Claims processing
- Claims adjudication
- Insurance processing
- Fraud detection and risk analysis
- Compliance and documentation
- Dispute resolution
- Data reporting
- Risk assessment
- Analytical and decision making
- Stakeholder coordination
LANGUAGES
English, Hindi, Marathi
Accomplishments
- Settled 37 high value claims in year 2024.
- Recovered second highest value of £70313.00 in the team of 60 members.
- Contributed in a team to make highest value recovered since companie's commencement of £80.41 million.
- Honored with the Best Decision Accuracy and Process Adherence Award for consistently maintaining top-tier processing efficiency
Timeline
Customer protection associate
Full potential solutions
02.2026 - Current
(Relevant experience) Insurance ops, specialist
AXA Global Business Services
05.2023 - 01.2026
BBA - international business
Savitribai Phule University
12th - commerce
Vidya Pratishthan English Medium School
10th - ssc
Mary Matha English Medium School