Tl- Claims-blended Process

1 week ago


Mumbai, Maharashtra, India LEADS 2 BUSINESS SOLUTIONS P LTD Full time
**Urgent Opening for Team Leader

  • 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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