Insurance Claims Specialist

19 hours ago


Kolkata, West Bengal, India beBeeClaims Full time ₹ 10,08,000 - ₹ 1,51,20,000
Claims Manager Job Overview

The Claims Function in our organization is designed to facilitate efficient and accurate insurance claims processing.

Job Description

This role involves effectively managing the claims process for clients, ensuring a smooth and fair settlement of claims. The job requires reviewing and validating claims, liaising with insurers, advocating for clients' interests, and guiding them through the claims process.

Key responsibilities include:

  • Claims Processing:
    • Accurately review and process claims in adherence to established protocols and guidelines.
    • Ensure all necessary documentation is collected and maintained for each claim, including client statements, accident reports, and relevant records.
  • Client Advocacy:
    • Act as the main point of contact for clients during the claims process, providing timely updates and information.
    • Advocate for clients' interests and rights, ensuring a fair and just settlement of claims.
  • Settlement and Compromise:
    • Engage in substantiating the claim to the insurers to secure optimal claim settlements for clients.
    • Ensure that settlements are fair and appropriate, considering policy terms, legal requirements, and clients' expectations.
Required Skills and Qualifications
  • Insurance Knowledge:
    • Possesses a strong understanding of insurance policies, coverages, and claims processing.
    • Familiarity with insurance regulations, industry standards, and claims-related legal aspects.
  • Technical Qualifications
    • Licentiate / Associate / Fellow of Insurance Institute preferred
  • Communication and Interpersonal Skills:
    • Demonstrates clear and effective communication, both written and verbal, to convey complex information to clients and internal stakeholders.
    • Exhibits strong interpersonal skills to manage client interactions with empathy and professionalism.
  • Analytical Thinking and Problem-Solving:
    • Utilizes analytical skills to assess claim details, policy information, and relevant documents to make informed decisions.
    • Identifies potential challenges and develops effective solutions to ensure smooth claims processing.
Personal Qualifications
  • Educational Background: A bachelor's degree in business, insurance, finance, or a related field is preferred.
  • Experience: Prior experience in claims processing, claims handling, or related roles within the insurance industry is advantageous.


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