Gunjan Gola

Operations Associate

New Delhi, Delhi, India2 yrs 1 mo experience

Key Highlights

Reduced operational cycle time by 20%
Expert in multi-product claims handling
Strong focus on SLA adherence and quality benchmarks

Stackforce AI infers this person is a Claims Operations Specialist in the Insurance industry with a focus on process improvement.

Contact

Skills

Core Skills

Claims ProcessingProperty And Casualty InsuranceProcess ImprovementClient Coordination

Other Skills

JiraPropertyCasualty InsuranceWorkflow StandardizationConfluenceCompassCustomer ServiceSalesforce TrainingMicrosoft OfficeCAD/CAM SoftwareStakeholder ManagementClient CommunicationCustomer Relationship Management (CRM)QPSMicrosoft Excel

About

Insurance Operations professional with 1.8+ years of experience managing end-to-end Property & Casualty (P&C) and CAD claims processing across high-volume environments. I specialize in coverage validation, policy interpretation, claim approval/rejection decision support, and complex case handling. Beyond core processing, I actively participate in client-facing standups, provide operational updates, escalate exception cases with structured analysis, and ensure SLA adherence across multiple insurance product lines. In my current role, I manage multi-domain claims while maintaining strong quality benchmarks and audit compliance standards. I’ve also contributed to workflow optimization initiatives that reduced operational cycle time by 20%, improving overall team efficiency. My strengths include: • Multi-product claims handling (P&C, CAD, Dental, Vision, AD&D, STD, LTD) • SLA & TAT management • Escalation handling & root cause analysis • Client coordination & stakeholder communication • Process improvement & workflow standardization I’m currently focused on growing into Senior Process Associate roles where I can take greater ownership of quality oversight, client engagement, and operational excellence initiatives. Open to connecting with professionals in insurance operations, claims management, and process excellence.

Experience

2 yrs 1 mo

Total Experience

9 mos

Average Tenure

7 mos

Current Experience

Prestanda consulting

Process Associate

Oct 2025 – Present · 7 mos · Noida · On-site

Entered Manage end-to-end processing of P&C and CAD insurance claims in alignment with regulatory and client-
specific guidelines
Perform detailed coverage validation and policy interpretation to support claim approval and rejection decisions
Ensure consistent SLA adherence while managing high-volume and time-sensitive workloads
Actively participate in daily client standups, providing operational updates, highlighting blockers, and discussing
priority cases
Analyzed complex claim discrepancies and policy exceptions before escalation to senior stakeholders.
Improved workflow efficiency by identifying recurring documentation gaps and recommending corrective actions.
Maintain strong data integrity through structured review processes and compliance checkpoints
Contribute to workflow standardization and efficiency improvements across multiple insurance product lines

JiraPropertyCasualty InsuranceClaims ProcessingProperty and Casualty Insurance

Sun life

Junior Process Associate

Jul 2024 – Jul 2025 · 1 yr · Gurugram, Haryana, India · Hybrid

Coordinated day-to-day operational tasks and team workflows using Jira, ensuring project milestones were met and blockers were proactively resolved.
Managed end-to-end case tracking through Case Manager, collaborating with internal teams to drive fast and accurate issue resolution for clients.
Created and maintained data-driven performance reports using Excel; tracked key operational metrics to support decision-making and weekly reviews.
Contributed to process optimization by identifying inefficiencies and suggesting improvements using tools like Compass, leading to smoother task handovers.
Supported Quality Process Support (QPS) by monitoring compliance workflows and collecting stakeholder feedback to align with internal standards.
Collaborated cross-functionally with multiple teams to ensure seamless operations, policy adherence, and a consistent client experience.

ConfluenceCompassClaims ProcessingClient Coordination

Wipro

Back Office Executive

Oct 2023 – Apr 2024 · 6 mos · Noida, Uttar Pradesh, India · On-site

Supported insurance claims processing and day-to-day operations, managing task updates via Jira and maintaining accurate records in Excel for cross-team sharing.
Handled customer case management using Case Manager, resolving client queries efficiently and maintaining service quality standards.
Assisted with admin and reporting tasks, preparing documentation and operational summaries for senior stakeholders.
Developed a strong understanding of insurance workflows and actively contributed to process improvement efforts by identifying gaps in execution and suggesting fixes.

ConfluenceCustomer ServiceClaims Processing