Insurance Settlement Claims Professional

22 hours ago


Alleppey, Kerala, India beBeeInsurance Full time ₹ 9,00,000 - ₹ 12,00,000
Job Overview

We are seeking a seasoned claims professional to oversee the entire insurance claims settlement process. The ideal candidate will assess claims, investigate their validity, and ensure timely and fair settlements.

Main Responsibilities:
  • Claims Handling: Manage the entire claims process from reviewing submitted documentation to determining eligibility based on policy coverage.
  • Data Analysis: Analyze data according to provided SOPs to ensure accurate and efficient claim handling.
  • Claim Validation & Investigation: Conduct thorough investigations by collecting relevant data, conducting interviews, and working with adjusters and external experts to verify claim validity.
  • Customer Communication: Keep policyholders informed on the status of claims and provide clarity on coverage decisions.
  • Negotiation: Negotiate settlement amounts with claimants and third parties, ensuring that settlements are fair and within policy limits.
  • Documentation & Reporting: Maintain detailed records of claims processing activities.
  • Fraud Detection: Identify potential fraudulent claims and collaborate with the fraud investigation team when necessary.
Requirements:
  • Strong understanding of insurance policies and claims processes.
  • Proven negotiation and conflict resolution skills.
  • Ability to analyze complex claims data for fair settlement decisions.
  • Excellent communication and organizational skills.


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