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Insurance operations to claims analyst: turnaround and leakage data

PK
Pankit Kumar
Sr. Data Scientist at Parexel (a Goldman Sachs–backed company) · 27 September 2026 · 5 min read
In this article (6 sections)

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The short answer

If you work in insurance operations, begin your move into analyst work by picking the dataset you handle daily, usually a claims register, a policy servicing queue or a renewals list, and rebuilding one operational report from it in SQL on synthetic data. The best first project depends on which desk you sit at, because that decides which columns and business rules you already understand.

Pick your first project from the desk you sit at

If your current work is mostlyYou already understandFirst project worth buildingTitle to search first
Motor claims processingSurvey reports, garage estimates, settlement stagesStage-wise turnaround plus a repeat-garage cost checkClaims analyst
Health claims at a TPA or insurerPre-auth, discharge summaries, deductions, query lettersQuery-letter reasons and their effect on settlement timeClaims MIS analyst
Policy servicing and endorsementsEndorsement types, service requests, SLA targetsService request backlog ageing by request typeOperations analyst
Renewals and retention callsRenewal notices, lapse reasons, grace periodsRenewal conversion by channel and days-to-expiryRetention or business analyst
Underwriting supportProposal forms, pending requirements, medicalsPending-requirement funnel from proposal to issuanceUnderwriting operations analyst

Choose one row. Trying to cover claims, renewals and underwriting in one portfolio dilutes the thing that makes you credible, which is depth in one process.

The motor claims version, worked end to end

This synthetic claims register has the columns a motor claims desk would recognise. The query answers two questions at once: how long each stage takes, and whether any garage has an unusual pattern of estimates.

sql
CREATE TABLE claims (
  claim_no TEXT, garage TEXT, intimated TEXT, surveyed TEXT,
  approved TEXT, settled TEXT, estimate REAL, approved_amt REAL);

INSERT INTO claims VALUES
 ('MC-001','Sharma Motors','2026-08-01','2026-08-02','2026-08-05','2026-08-09',42000,36000),
 ('MC-002','Sharma Motors','2026-08-03','2026-08-06','2026-08-12','2026-08-20',65000,52000),
 ('MC-003','City Auto Works','2026-08-04','2026-08-05','2026-08-07','2026-08-10',28000,26500),
 ('MC-004','Sharma Motors','2026-08-10','2026-08-14','2026-08-22','2026-09-01',88000,61000),
 ('MC-005','City Auto Works','2026-08-11','2026-08-12','2026-08-14','2026-08-18',31000,29000),
 ('MC-006','Rana Garage','2026-08-12','2026-08-13','2026-08-16','2026-08-21',47000,44000),
 ('MC-007','Sharma Motors','2026-08-18','2026-08-21','2026-08-29','2026-09-08',73000,50000);

-- Average days per stage
SELECT ROUND(AVG(julianday(surveyed) - julianday(intimated)), 1) AS to_survey,
       ROUND(AVG(julianday(approved) - julianday(surveyed)), 1)  AS to_approval,
       ROUND(AVG(julianday(settled)  - julianday(approved)), 1)  AS to_settlement
FROM claims;

-- Garage-level pattern: how far approvals fall below estimates
SELECT garage,
       COUNT(*) AS claims,
       ROUND(AVG(estimate), 0) AS avg_estimate,
       ROUND(100.0 * SUM(estimate - approved_amt) / SUM(estimate), 1) AS pct_cut_by_surveyor
FROM claims
GROUP BY garage
ORDER BY pct_cut_by_surveyor DESC;

On this invented data the approval-to-settlement stage takes longest on average (about 6 days), survey-to-approval is next, and Sharma Motors has the highest average estimate and the largest share of its estimates cut by surveyors, roughly a quarter. City Auto Works and Rana Garage sit well under 10%.

Read the result carefully before calling it leakage

This is where your operations experience earns its place. A high cut percentage does not prove anything improper. You know the ordinary explanations:

  • The garage may handle more severe accidents, so estimates include parts that are later found repairable.
  • Depreciation on parts is applied at approval, which reduces the approved amount regardless of the garage.
  • A few large claims can dominate a small sample; four claims is not a pattern.

So the analyst's finding is not "Sharma Motors is inflating estimates". It is "Sharma Motors shows larger estimate reductions and slower movement through approval and settlement on this sample; check whether that holds on a bigger period and after adjusting for depreciation and claim severity". Writing that sentence is what separates analysis from accusation, and interviewers for claims roles will test whether you can.

The gaps between processing and analysis

  • Thinking in populations. Processing trains you to judge one file at a time. Analysis asks what is true across thousands, and when a difference is too small to trust.
  • Joining the right tables. Real claims data sits across policy, claim, payment and survey tables. You will need joins, and you will need to spot when a join duplicates rows.
  • Dates done properly. Working days, holidays and reopened claims all change turnaround figures. Decide your rule, write it down and apply it consistently.
  • One BI tool. A Power BI page with stage-wise turnaround and a garage filter is a stronger deliverable than a static table.

What to say when asked why you are leaving operations

"I have processed motor claims for three years, so I know each stage from intimation to settlement and where files usually get stuck. I kept noticing patterns across files that nobody measured, like payment release after approval taking longer than the survey itself. I learned SQL and built a claims turnaround and garage-pattern analysis on synthetic data. The most useful part was writing down what the numbers do not prove, for example that a high estimate reduction can come from depreciation or severity rather than anything improper. I want a claims analyst role where I can do that across the whole book, not one file at a time."

Your next move

Pick one row from the table and build that project first. Check how your resume reads to a screener with the free skill check, and see the Data Analyst programme if you want structured SQL, Power BI and AI-verification practice; a counsellor can share current fees and batch dates. For another operations-to-analyst route using queue data, compare the bank operations guide.

Frequently asked questions

What does a claims data analyst do that a claims processor does not?

A processor decides individual claims against policy terms. An analyst looks across many claims to find patterns, such as which stage causes delay, which document gaps recur, or which providers show unusual cost patterns, and turns those patterns into a recommendation for the operations team.

Do I need actuarial exams to move into insurance analytics?

Not for operations or claims analytics roles, which rely mainly on SQL, spreadsheets, BI tools and domain understanding. Actuarial roles are a separate track with their own professional exams; do not confuse the two when reading job descriptions.

PK
Pankit Kumar
Lead Instructor, NeuraPath Academy

Pankit Kumar has 10 years in Data Science & AI, building and shipping production systems in regulated pharma and clinical environments. He is a freelance trainer at Boston Institute of Analytics, AnalytixLabs and Scaler, and has taught this material to thousands of working professionals.

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