Edme Insurance Brokers | Claims Manager | mumbai

1 week ago


mumbai, India Edme Insurance Brokers Full time

4) Key Result Areas:

Key Result Areas

Supporting Actions

Claims Management

  • Visit client site, as required, to understand claim incident and detail
  • Ensure that team members involved in specific claim settlement process also visit the client site and gain thorough understanding of the incident
  • Ensure that team members handling claim settlements have thoroughly understood the different financial and technical aspects of the claim
  • Ensure that client policies relevant to the claim, are well read and understood to present a strong business case for the client
  • Understand the technical and financial aspects of the claim and ensure that the client is informed of all aspects / possibilities of the claim settlement
  • Conduct periodic review meetings with the team to track critical TATs and discuss monthly targets of claim settlement
  • Ensure that all surveyor queries are responded to and intimated to the client
  • Liaise with different stakeholders – Client, insurance companies, surveyor, as and when required, to ensure an effective closure of claims within defined TATs

Stakeholder Relationship Management

  • Maintain effective relations with all stakeholders involved in the claim settlement process – Client, insurance companies, surveyor, internal teams like sales
  • Coordinate with sales to build strong client relations
  • Ensure that all client queries or surveyor queries are being responded to within defined TATs

MIS & Reporting

  • Monitor and report important performance metrics like – IRDA data, balance scorecard for claims management, claims settled within 120 days
  • Cater to other AdHoc data requests pertaining to claims management, from the senior management



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