Specialist - Claims

2 weeks ago

Mumbai, India Edelweiss Tokio Life Full time

Job Purpose ·To ensure that insurance claims are handled efficiently and that payment for valid claims are made to the nominee / beneficiary Key Responsibilities Responsibilities ·To handle claim assessment and control the process within TAT ·To analyze the case and trigger investigations wherever necessary ·To ensure appropriate scanning of claim documents for fraud check ·To respond to claimant queries / mails properly with prompt action ·To ensure client servicing, prompt reply, action initiation ·To ensuring payment of claim to the correct nominee/beneficiary ·To identify and mitigate the risk in discussion with manager Specific Authorities( Financial & Non Financial) ·Investigation trigger of Claims for appropriate Assessment ·Appropriate assignment of cases to Reinsurance for Opinion ·Preparation of letters in line with Company policy Key Performance Indicators ·Accuracy in Claims Assessment & Payout = % ·Customer Management (Email/Calls) with NPS > 50 ·Managing Reporting, Compliance and Audit = % Job Requirements Qualifications Graduate/Post Graduate (Preferably in Finance or Statistics) MBA preferred Experience 0-6 years of relevant experience Functional Competencies • Claims & Risk assessment • Reporting, Compliance and audits • Strong background in life insurance Claims • Possesses understanding trends that affect Claims Function in insurance Behavioral Competencies • Good communication and interpersonal skills • Analytical skills • Collaboration • Business Acumen Key Interactions Internal Nature or purpose of interaction F&A, MIS team ·Daily coordination with finance/accounts team ·Automation requirement discussion ·Data from system MIS/Reports External Nature or purpose of interaction IDRA, clients ·To provide MIS/Reports to IRDA ·To understand IRDA guidelines and updates ·To meet claimant Documented By Lead – Lead Claims Approved By Head – PS/Fin Ops & Claims HR certification By Vice President HR

  • Claims Specialist

    3 days ago

    Mumbai, India ICICI Lombard Full time

    We have exciting opportunities for the role of AVP- Claim Review.Location: Mumbai - PrabhadeviInterested candidate can share resume on Varsha.jha@icicilombard.com with subject line AVP- Claim Review and share below details.Current SalaryExpectationNotice PeriodEducation (Full Time / part Time)Role OverviewThe Claim Review Specialist will be responsible for...

  • Claims Specialist

    2 days ago

    Mumbai, India ICICI Lombard Full time

    We have exciting opportunities for the role of AVP- Claim Review.Location: Mumbai - PrabhadeviInterested candidate can share resume on Varsha.jha@icicilombard.com with subject line AVP- Claim Review and share below details.Current SalaryExpectationNotice PeriodEducation (Full Time / part Time)Role OverviewThe Claim Review Specialist will be responsible for...

  • Claims Specialist

    3 days ago

    Mumbai, India ICICI Lombard Full time

    We have exciting opportunities for the role of AVP- Claim Review.Location: Mumbai - PrabhadeviInterested candidate can share resume on Varsha.jha@icicilombard.com with subject line AVP- Claim Review and share below details.Current SalaryExpectationNotice PeriodEducation (Full Time / part Time)Role OverviewThe Claim Review Specialist will be responsible for...

  • Claims Specialist

    2 days ago

    Mumbai, India ICICI Lombard Full time

    We have exciting opportunities for the role of AVP- Claim Review. Location: Mumbai - Prabhadevi Interested candidate can share resume on Varsha.jha@icicilombard.com with subject line AVP- Claim Review and share below details. Current Salary Expectation Notice Period Education (Full Time / part Time) Role Overview The Claim Review Specialist will be...

  • Claims Specialist

    12 hours ago

    Mumbai, India ICICI Lombard Full time

    We have exciting opportunities for the role of AVP- Claim Review. Location: Mumbai - Prabhadevi Interested candidate can share resume on with subject line AVP- Claim Review and share below details. Current Salary Expectation Notice Period Education (Full Time / part Time) Role Overview The Claim Review Specialist will be responsible for reviewing medical...

  • Insurance Claims Specialist

    7 days ago

    mumbai, India beBeeClaims Full time

    Job OverviewWe are seeking an Insurance Claims Specialist to manage motor insurance claims efficiently, ensuring compliance with regulatory guidelines and delivering exceptional customer service.Main Responsibilities:Handle motor insurance claims for two-wheelers and four-wheelersAssess losses, appoint approved surveyors, and review reportsCommunicate repair...

  • Accurate Medical Claims Specialist

    6 days ago

    mumbai, India beBeeClaims Full time

    Claims Specialist RoleWe are seeking a skilled and experienced Claims Specialist to manage medical claims in accordance with industry regulations and contractual agreements.The ideal candidate will play a crucial role in ensuring timely processing of claims for healthcare services rendered, maintaining high standards of accuracy and efficiency in claims...

  • Claims Specialist

    2 weeks ago

    Mumbai, India Anand Rathi Insurance Brokers Ltd Full time

    Job Purpose:The primary responsibility of this role is to manage and service Group Personal Accident (GPA) claims, ensuring efficient processing, proper documentation, and timely resolution. The role requires maintaining an updated claims database, coordinating with claimants, handling queries, and ensuring adherence to claim settlement timelines.Primary Job...

  • Claims specialist

    1 week ago

    Mumbai, India Anand Rathi Insurance Brokers Ltd Full time

    Job Purpose:The primary responsibility of this role is to manage and service Group Personal Accident (GPA) claims, ensuring efficient processing, proper documentation, and timely resolution. The role requires maintaining an updated claims database, coordinating with claimants, handling queries, and ensuring adherence to claim settlement timelines.Primary Job...

  • Claims Specialist

    3 weeks ago

    Mumbai, India Anand Rathi Insurance Brokers Ltd Full time

    Job Description Job Purpose: The primary responsibility of this role is to manage and service Group Personal Accident (GPA) claims, ensuring efficient processing, proper documentation, and timely resolution. The role requires maintaining an updated claims database, coordinating with claimants, handling queries, and ensuring adherence to claim settlement...