Claims Professional

8 hours ago


Thāne, Maharashtra, India beBeeClaims Full time ₹ 15,00,000 - ₹ 20,00,000

Job Overview

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  • Analyze claims data to assess eligibility and determine the validity of insurance claims.
  • Determine claim entitlements in accordance with policy terms and conditions.
  • Manage communication with customers, adjusters, and third parties throughout the claims process.
  • Negotiate settlements with claimants and ensure compliance with regulatory requirements.
  • Maintain accurate and detailed records of claims processing activities.
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Key Responsibilities

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  • Process claims from receipt to final settlement, adhering to established procedures and standards.
  • Investigate claims for accuracy and completeness, identifying any discrepancies or inconsistencies.
  • Collaborate with internal teams, including legal and fraud investigation, as needed to resolve complex claims.
  • Develop and implement strategies to improve claims efficiency, productivity, and customer satisfaction.
  • Stay up-to-date on industry developments, regulatory changes, and best practices in claims management.
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Requirements

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  • Bachelor's degree in Insurance, Risk Management, Business Administration, or a related field.
  • 2+ years of experience in insurance claims handling or settlement.
  • Strong understanding of insurance policies, claims processes, and regulatory requirements.
  • Excellent negotiation and conflict resolution skills.
  • Ability to analyze complex data and make informed decisions.
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Preferred Qualifications

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  • Certification in claims management or insurance (AIC, CPCU, or equivalent).
  • Experience handling sector-specific claims (e.g., health, agriculture, property, or auto insurance).
  • Knowledge of fraud detection and investigation techniques.
  • Experience with claims management software.
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We Offer

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  • Competitive salary with performance-based bonuses.
  • Comprehensive health, dental, and vision benefits.
  • Opportunities for career advancement and professional development.
  • Collaborative work environment focused on customer satisfaction.

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