Claims Executive
6 months ago
**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.
- Detail-oriented 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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