Insurance Claim Settlement Specialist
3 weeks ago
Job Title: Insurance Claim Settlement Specialist
Location: Mumbai/Remote
Employment Type: Full-Time
Experience Required: 2+ years in insurance claims handling or settlement
Education: Bachelor's degree in Insurance, Risk Management, Business Administration, or a related field.
Preferred Qualification: Proficient in Hindi/Marathi
Job Overview:
We are looking for an experienced Insurance Claim Settlement Specialist to manage the entire claims settlement process from submission to final resolution. The ideal candidate will assess claims, investigate their validity, coordinate with adjusters, and ensure timely and fair settlements. A strong understanding of insurance policies, excellent negotiation skills, and adherence to company standards and legal regulations are essential for success in this role.
Key Responsibilities:
- Claims Processing:
- Handle the entire claims process, from reviewing submitted documentation to determining eligibility based on policy coverage.
- Data Analysis:
- Analyse data according to the provided SOPs (Standard Operating Procedures) to ensure accurate and efficient claim handling.
- Claim Validation & Investigation:
- Conduct thorough investigations by collecting relevant data, conducting interviews, and working with adjusters and external experts to verify claim validity.
- Client Communication:
- Keep policyholders and agents informed on the status of claims, provide clarity on coverage decisions, and guide them through the settlement process.
- Settlement Negotiation:
- Negotiate settlement amounts with claimants and third parties, ensuring that settlements are fair, within policy limits, and compliant with legal standards.
- Documentation & Reporting:
- Maintain detailed records of claims processing activities, including assessments, investigation reports, and settlement documentation.
- Fraud Detection:
- Identify and flag potential fraudulent claims, collaborating with the fraud investigation team when necessary.
- Compliance:
- Ensure all claims are processed in adherence to company policies, industry regulations, and legal requirements.
- Coordination with Legal Team:
- Collaborate with the legal team on disputed claims or cases involving litigation to ensure proper handling.
- Customer Service:
- Deliver exceptional customer service by addressing claim-related inquiries, resolving disputes, and ensuring a smooth claims experience for policyholders.
- Continuous Improvement:
- Recommend improvements to enhance efficiency and reduce claims processing time.
Key Qualifications:
- Strong understanding of insurance policies, claims processes, and regulatory requirements.
- Proven negotiation and conflict resolution skills.
- Ability to analyze complex claims data for fair settlement decisions.
- Strong communication skills, both verbal and written.
- Attention to detail with excellent organizational abilities.
- Ability to work independently and manage multiple claims simultaneously.
Preferred Qualifications:
- Certification in claims management or insurance (AIC, CPCU, or equivalent).
- Experience handling sector-specific claims (e.g., health, agriculture, property, or auto insurance).
- Knowledge of fraud detection and investigation techniques.
- Experience with claims management software.
What We Offer:
- Competitive salary with performance-based bonuses.
- Comprehensive health, dental, and vision benefits.
- Opportunities for career advancement and professional development.
- Collaborative work environment focused on customer satisfaction.
-
Insurance Claim Settlement Specialist
2 weeks ago
Mumbai, India Swan Corp Full timeJob Title: Insurance Claim Settlement SpecialistLocation: Mumbai/RemoteEmployment Type: Full-TimeExperience Required: 2+ years in insurance claims handling or settlementEducation: Bachelor's degree in Insurance, Risk Management, Business Administration, or a related field.Preferred Qualification: Proficient in Hindi/MarathiJob Overview:We are looking...
-
Insurance Claim Settlement Specialist
4 weeks ago
Mumbai, Maharashtra, India Swan Corp Full timeJob Title: Insurance Claim Settlement SpecialistLocation: Mumbai/RemoteEmployment Type: Full-TimeExperience Required: 2+ years in insurance claims handling or settlementEducation: Bachelor's degree in Insurance, Risk Management, Business Administration, or a related field.Preferred Qualification: Proficient in Hindi/MarathiJob Overview:We are looking for an...
-
Insurance Claim Settlement Specialist
3 weeks ago
Mumbai, India Swan Corp Full timeJob Title: Insurance Claim Settlement Specialist Location: Mumbai/Remote Employment Type: Full-Time Experience Required: 2+ years in insurance claims handling or settlement Education: Bachelor's degree in Insurance, Risk Management, Business Administration, or a related field. Preferred Qualification: Proficient in...
-
Insurance Claim Settlement Specialist
3 weeks ago
Mumbai, India Swan Corp Full timeJob Title: Insurance Claim Settlement SpecialistLocation: Mumbai/RemoteEmployment Type: Full-TimeExperience Required: 2+ years in insurance claims handling or settlementEducation: Bachelor's degree in Insurance, Risk Management, Business Administration, or a related field.Preferred Qualification: Proficient in Hindi/MarathiJob Overview:We are looking for an...
-
Mumbai, India Swan Corp Full timeJob Title: Insurance Claim Settlement Specialist Location: Mumbai/Remote Employment Type: Full-Time Experience Required: 2+ years in insurance claims handling or settlement Education: Bachelor's degree in Insurance, Risk Management, Business Administration, or a related field. Preferred Qualification: Proficient in Hindi/Marathi Job Overview: We are...
-
Claim Settlement Executive
2 days ago
Mumbai, India Kapalin Insurance Broking Pvt Ltd Full timeRole & Responsibilities: 1. Responsible for claim settlement 2. Must be insurance broking firm 3. Knowledge of claim checking 4. Ensuring a claimant’s policy covers their claim 5. Investigating the claim by gathering information (photos, receipts, proper Sherlock stuff) **Salary**: ₹12,000.00 - ₹25,000.00 per month Schedule: - Day shift Ability...
-
Senior Insurance Claims
3 days ago
Mumbai, India Emarat Maritime, LLC Full timeExperience: Minimum-7-10 years or 10-15 years (Including heading insurance for 3 years). Marine Insurance Ship owners How many vessels you were managing for insurance. All type of insurance such as HNM, P&I , Loss of hire insurance. Experience in claim handling Office- Emarat Shipping Management India Private LTD E wing office, unit no 7, 5th floor Times...
-
Claims Executive
6 days ago
Andheri, Mumbai, Maharashtra, India Efficient Insurance Brokers Pvt Ltd Full time**Job Title: Claims Executive - Non-Motor Insurance** **Department: Claims / Operations** **Location: Andheri** **Reporting to: Claims Manager / Operations Head** **Type: Full-Time** **1. Claim Intimation & Registration** - Coordinate with clients for claim intimation and gather preliminary incident details - Register claims with respective insurers...
-
Claims Executive
2 days ago
Chembur, Mumbai, Maharashtra, India Aum Insurance Brokers Pvt Ltd Full timeGive Claim Intimation & registration as per set process - Responsible for compiling & Submitting claims documents to insurance companies - Follow-ups & Settlement - Maintain record of all settlements in software and excel - Coordination with claimant & insurance company for end-to-end claims management - Ensuring all claims inquiries are dealt with in an...
-
Insurance Claims Administrator
1 week ago
Mumbai, Maharashtra, India Transvolt Full timeJob Title: Assistant Manager - Truck and Bus Insurance Claims Department: Insurance/Claims Location: [City, State] Reporting to: Claims Manager / Senior Manager - Claims Job Purpose: To manage and process insurance claims related to commercial vehicles (trucks and buses), ensuring efficient and timely settlement while maintaining compliance with policy terms...
