Cluster Manager-ILM-Motor TP

2 weeks ago

Ranchi India Bajaj General Insurance Full time

Job Description 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 - Vendor Payment Reconciliation

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