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PrishaPolicy | Claims Manager | gurugram
2 months ago
About Prisha Insurance Brokers Pvt. Ltd.
Prisha Insurance Brokers Pvt. Ltd. is a leading insurance brokerage firm dedicated to providing comprehensive insurance solutions to individuals and businesses. With a focus on customer satisfaction and personalized service, we strive to offer the best insurance products tailored to our clients' needs.
Job Description: Claims Department Specialist
We are currently seeking enthusiastic and detail-oriented individuals to join our team as Claims Department Specialists. The Claims Specialist will play a crucial role in managing insurance claims, ensuring timely and fair resolution while maintaining the highest level of customer service. The ideal candidate should have strong analytical skills, excellent communication abilities, and a passion for providing efficient claims management.
Responsibilities:
· Evaluate, investigate, and process insurance claims in compliance with company policies and regulatory requirements.
· Communicate with policyholders, claimants, and other stakeholders to gather necessary information and provide updates on claim status.
· Maintain accurate and thorough documentation for all claims, including claim forms, correspondence, and supporting evidence.
· Assess the validity of claims, determine coverage, and approve or deny claims based on policy terms and conditions.
· Work closely with underwriting, legal, and finance departments to resolve complex claims and ensure seamless operations.
· Identify potential fraudulent claims and coordinate investigations with the relevant departments.
· Prepare regular reports on claims activities, including trends, statistics, and any issues or delays.
· Participate in process improvement initiatives to enhance efficiency and customer satisfaction.
Qualifications:
· Prior experience in claims management or a similar role in the insurance industry.
· Strong analytical and problem-solving skills.
· Excellent communication and interpersonal skills.
· Proficiency in insurance-related software and Microsoft Office Suite.
· Ability to handle multiple tasks and work under pressure.
· Knowledge of insurance laws and regulations is a plus
