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Tl- Claims-blended Process
1 week ago
- Blended Process
Location: Malad & Thane Salary: Upto 6.5 LPA** Experience Required: Minimum 3 Years in same domain & 1 Year Team Handling Experince
Claims Team Leader
Role Description:
- Seeking a dynamic and experienced individual to lead our Claims and Insurance Process team.
Core Role Responsibilities:
- Monitor teams Investigate, evaluate, and resolve claims of applicable to Host Guarantee Terms of Service, using a multichannel customer support environment
- Lead and mentor a team of claims and insurance professionals
- Ensure timely and accurate processing of claims in compliance with industry standards and company policies
- Implement people and process improvements to enhance efficiency and customer satisfaction
- Initiating, investigating, and resolving cases involving complex damage, liability claims, potential fraud, or brand risk, verifying facts, and determining resolutions based on internal policies.
- Enable teams on providing timely and accurate resolution through the suggested workflows and best practices shared
- Ability to manage team schedules and organization expectations
- 13 years of experience in claims and dispute resolution, ecommerce, conflict resolution, fraud or risk investigations, and/or crisis management.
- Providing upward feedback regarding the status of claims, communicating regularly with supervisors and managers.
- Stay updated on industry regulations and ensure team compliance
- Utilize data to make informed decisions and implement process enhancements
- Setup mechanism to understand key trends and issues faced by ambassadors including building an audit mechanism to review performance
- Mastering knowledge of company policies and procedures inside and out, being an expert in claims verification, payment processing, dispute resolution and fraud detection.
- Determining compensation and validity of the claims, identifying possible claim risks and/or liaising with other departments to deescalate active threads. This process will require excellent negotiation skills and might involve stakeholder relationships and research.
- Maintaining high levels of confidentiality while performing investigations.
Minimum Skills to Hire & Key Callouts: -Excellent oral/written communication skills in supported languages (English primary, secondary as noted)
- Excellent problemsolving skills
- Familiarity with claims management processes, regulations, and industry best practices
- Previous experience in Team Management, Leadership
Benefits:
- Flexible schedule
- Health insurance
- Leave encashment
- Paid sick time
- Provident Fund
Schedule:
- Evening shift
- Night shift
- Rotational shift
Supplemental pay types:
- Commission pay
- Overtime pay
- Performance bonus
- Quarterly bonus
- Shift allowance
- Yearly bonus
Experience:
- total work: 1 year (preferred)
Work Location:
In person
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