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Shrigoda Insurance Brokers Limited

2 months ago

mumbai, India Shrigoda Insurance Brokers Limited (aka INSURANCE4LIFE) Full time

KRAs:

  • Effective coordination with multiple stakeholders i.e. distributors / sub-brokers, end-clients & the insurance companies to resolve any query, claim & grievance
  • Scrutiny of policy documents for correctness & ensure all clauses are incorporated (as requested by clients)
  • Serve as a point of contact for clients during claims, providing clarifications on policy terms and conditions
  • Checking claim validity, registration of claim, sending checklist of requirements with claim form & addn. docs required, including bank details (Police FIR in case of Accident Claims)
  • Scrutiny of claim documents/form; resolve the same with clients/partners
  • Assess claim documents before forwarding to TPAs or insurance companies to ensure they are complete and meet the insurer's requirements
  • Resolve queries raised by the insurance companies to expedite the claim process
  • Inform clients on deductions (if any)
  • Follow up with TPAs/Insurance companies to ensure claims are processed within the agreed TAT (Turnaround Time).
  • Issuance of discharge voucher for obtaining client signatures
  • Making payment and final claim settlement
  • Maintain & Update Claim MIS for all clients on a weekly basis


Other Requirements:

  • Certification/Diploma from Insurance Institute of India is preferred
  • Proficient in MS Excel, Emails for managing claim-related data and documentation
  • Ability to prepare and maintain complex MIS reports with accuracy and attention to detail
  • Familiarity with insurance claims software & tools used for policy & claim mgmt. is a plus
  • Excellent written and verbal communication skills to explain insurance policy terms, clarify client queries, and coordinate with TPAs and insurance companies
  • High level of resilience to handle the pressure associated with managing a high volume of claims and client expectations
  • A proactive mindset with a focus on continuous improvement and delivering excellent service