Ffrm & Early Settlement Investigations

2 weeks ago


Bengaluru, India Bajaj Allianz General Insurance Company Full time

:
**Desktop Investigation**
- Trigger identification through data at intimation/Referral stage
Social media searches
Cold calling using digital platforms
Identify key business people, link analysis
- **Claim Investigation**
- Allocation of assigned claims to respective vendors with case relevant triggers
Follow up for IR and TAT management
Level 1 QC clearance & validate the submissions against shared triggers
Success in claim investigation based upon strong medical & legal evidences
Preparing reports based on findings and observations and guide / Gathering and Analyzing the facts and developing & creating evidence which stands in court of law
Report submission and coordination with claims team.
- **Evidence Matrix Assurance**
- Ascertain evidence quality as per matrix
Validate each & every evidence with the case triggers
DMS of hardcopy maintenance
- **Escalation Management**
- Document Complaince through Field Investigation of HVC
Further Requirement Complaince
OFR and CFR with Stake holders
- **Data Management**
- MIS preparation and report reconciliation
Payment reconciliation with Vendors
Project tracking
- **Vendor Management**
- Vendor Empanelment & Training & Development
Ensure the ethics and compliance during managing the external investigators and self
- investigation of cases**Department**
:
South

**Open Positions**
:
1

**Skills Required**:
:
Assessment of case triggers & provide to external vendors for filed investigation - Validation of submitted evidences basis upon medical ethics, retrieved from the filed investigation

**Location**
:
Bangalore

**Education/Qualification**
:
Graduate/ Post Graduate

**Desirable Skills**
:
1.Good communication skills. 2.Flexible & adaptable to change. 3.Well versed with MS Office. 4.Should have good analytical and problem-solving skills. 5.Should be aware of the Local language.

**Years Of Exp**
:
2 to 6 Years

**Posted On**
:

- 13-Nov-2023**Designation**
:
FFRM & Early Settlement Investigations



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