Chief Claims Resolving Executive

7 days ago

Tirupati, Andhra Pradesh, India beBeeNegotiation Full time ₹ 80,00,000 - ₹ 1,20,00,000
Insurance Claim Settlement Specialist

Job Description:

We are seeking an experienced Insurance Claim Settlement Professional to oversee the entire claims settlement process from submission to final resolution.

The ideal candidate will possess excellent analytical skills, with a strong understanding of insurance policies and regulatory requirements.

The role involves handling complex claims data, negotiating settlements, and maintaining accurate records of processing activities.

Key Responsibilities:

  • Claims Processing: Manage the entire claims process, including reviewing submitted documentation and determining eligibility based on policy coverage.
  • Data Analysis: Analyze data according to Standard Operating Procedures (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.
  • Client Communication: Keep policyholders and agents informed on the status of claims and provide clarity on coverage decisions.
  • Settlement Negotiation: Negotiate settlement amounts with claimants and third parties, ensuring that settlements are fair, within policy limits, and compliant with legal standards.
  • Documentation & Reporting: Maintain detailed records of claims processing activities, including assessments, investigation reports, and settlement documentation.
  • Fraud Detection: Identify and flag potential fraudulent claims, collaborating with the fraud investigation team when necessary.
  • Compliance: Ensure all claims are processed in adherence to company policies, industry regulations, and legal requirements.

Required Skills & Qualifications:

  • Strong Analytical Skills: Ability to analyze complex claims data for fair settlement decisions.
  • Effective Communication: Strong communication skills, both verbal and written.
  • Attention to Detail: Excellent organizational abilities with attention to detail.
  • Negotiation Skills: Proven negotiation and conflict resolution skills.
  • Industry Knowledge: Strong understanding of insurance policies, claims processes, and regulatory requirements.

Benefits:

This role offers a challenging and rewarding career opportunity for individuals passionate about insurance and claims management. We offer a competitive compensation package and opportunities for professional growth and development.

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