Claims Management Professional

7 days ago


Gurgaon, Haryana, India PrishaPolicy Full time

About Prisha Policy

We are a leading insurance brokerage firm dedicated to providing comprehensive insurance solutions to individuals and businesses.

Job Description: Claims Department Expertise

As a Claims Department Specialist, you will play a crucial role in managing insurance claims, ensuring timely and fair resolution while maintaining the highest level of customer service. Your analytical skills, excellent communication abilities, and passion for efficient claims management will drive success in this position.

Key Responsibilities:

• Evaluate and process insurance claims in accordance with company policies and regulatory requirements.

• Collaborate with policyholders, claimants, and 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 claim validity, 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 relevant departments.

• Prepare regular reports on claims activities, including trends, statistics, and any issues or delays.

Required Skills and 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 an asset.

Estimated Salary: ₹800,000 - ₹1,200,000 per annum



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