Claims Executive

2 weeks ago


Surat, Gujarat, India Torque Insurance Brokers Pvt Ltd Full time

Responsibilities:

-
Claims Processing: Receive, review, and process insurance claims from clients, policyholders, or third parties. Verify claim details, assess coverage, and determine the validity of claims based on company policies and procedures.
-
Investigation: Conduct thorough investigations to gather relevant information, assess damages, and determine liability. Coordinate with field experts, assessors, and legal teams as needed to facilitate accurate claims assessment.
-
Documentation: Maintain accurate and organized claims records by documenting all interactions, decisions, and communications related to each claim. Ensure that all required documentation is complete and filed appropriately.
-
Communication: Communicate effectively with claimants, policyholders, and other stakeholders to provide updates on claim status, request additional information when needed, and address any inquiries or concerns promptly.
-
Negotiation: Engage in negotiation processes to settle claims in a fair and cost-effective manner. Collaborate with legal teams or external parties to ensure compliance with legal and regulatory requirements.
-
Resolution: Work towards the timely resolution of claims by making informed decisions based on gathered information, coverage analysis, and company guidelines. Provide recommendations on settlement amounts and escalate complex or high-value claims as necessary.
-
Customer Service: Provide excellent customer service by addressing customer inquiries, resolving issues, and ensuring a positive claims experience for all parties involved.
-
Reporting: Prepare regular reports on claims activities, including claim volumes, trends, and key performance indicators. Analyze data to identify areas for process improvement and efficiency enhancement.
-
Quality Assurance: Conduct quality checks on completed claims to ensure accuracy, consistency, and compliance with company policies and industry standards.

Qualifications:

  • Bachelor's degree in a relevant field or equivalent work experience.
  • Proven experience in claims handling, preferably in the insurance industry.
  • Strong knowledge of insurance policies, coverage, and claims processes.
  • Excellent communication and negotiation skills.
  • Detailoriented with the ability to analyze information and make informed decisions.
  • Proficient in using claims management software and tools.

Salary:
Up to ₹25,000.00 per month

Benefits:

  • Provident Fund

Schedule:

  • Day shift

Supplemental pay types:

  • Performance bonus

Experience:

- total work: 1 year (preferred)
- claims settlement: 1 year (required)

Ability to Commute:

  • Surat, Gujarat (required)

Ability to Relocate:

  • Surat, Gujarat: Relocate before starting work (required)

Work Location:
In person
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