Summary
Overview
Work History
Education
Skills
Timeline
Generic

Simran Shaikh

pune

Summary

Insurance Claims Operations Specialist with 5+ years of experience across US and Australian Property & Casualty insurance markets. Experienced in end-to-end claims handling, recovery operations, liability assessment, claim investigation, carrier liaison, stakeholder management, and regulatory compliance. Proven ability to manage high-volume claim portfolios while consistently achieving SLA, quality, and productivity targets. Recognized for analytical problem-solving, strong client communication, and delivering operational excellence in fast-paced insurance environments.

Overview

7
7
years of professional experience

Work History

Senior Operations Specialist

Allstate Insurance
Pune
07.2021 - Current

Results-driven Insurance Claims Operations Specialist with 5+ years of experience across US and Australian Property & Casualty insurance markets. Proven expertise in end-to-end claims handling, claims investigation, liability assessment, recovery operations, carrier and stakeholder management, regulatory compliance, and SLA/KPI performance management. Recognized for strong analytical problem-solving, customer service excellence, and process improvement, with a proven track record of managing high-volume claim portfolios while consistently delivering quality and productivity targets. Promoted to B1 based on outstanding performance and operational excellence.

Senior Associate

WNS
Pune
10.2019 - 07.2021
  • Managed end-to-end recovery lifecycle for non-disputed motor insurance claims.
    Reviewed claim files to identify recovery opportunities and ensure policy compliance.
    Liaised with insurers, third parties, customers, and internal stakeholders for timely claim resolution.
    Negotiated outstanding recoveries and followed up to maximize successful collections.
    Maintained accurate claim documentation and updated claim management systems regularly.
    Prioritized workloads to meet SLAs, productivity, and quality standards.
    Resolved claim-related queries through effective verbal and written communication.
    Ensured compliance with Suncorp’s operational guidelines and regulatory requirements.

Education

Bachelor of Arts -

Pune University
Pune
12-2018

Skills

* Insurance Claims Management
* End-to-End Claims Processing
* Claims Investigation
* Liability Assessment
* Recovery Operations
* Claims Documentation
* Client Service Management
* Stakeholder Management
* Carrier & TPA Coordination
* Payment Recovery & Follow-up
* Regulatory Compliance
* Risk Assessment
* Process Improvement
* SLA & KPI Management
* Quality Assurance
* Microsoft Excel, Outlook, Word & PowerPoint

Timeline

Senior Operations Specialist

Allstate Insurance
07.2021 - Current

Senior Associate

WNS
10.2019 - 07.2021

Bachelor of Arts -

Pune University
Simran Shaikh