Policies Settlement Specialist

1 day ago

Bellary, Karnataka, India beBeeClaims Full time ₹ 7,50,000 - ₹ 15,00,000
Insurance Claims Processor

We are seeking a skilled Insurance Claims Processor to manage the entire claims settlement process from submission to final resolution.

  • Key Responsibilities:
  • Review submitted documentation, determine eligibility based on policy coverage and handle the entire claims process.
  • Analyse data according to Standard Operating Procedures to ensure accurate and efficient claim handling.
  • Conduct thorough investigations by collecting relevant data, conducting interviews and working with adjusters and external experts to verify claim validity.
  • Keep policyholders and agents informed on the status of claims and provide clarity on coverage decisions.
  • Negotiate settlement amounts with claimants and third parties ensuring fair settlements within policy limits and compliant with legal standards.
  • Maintain detailed records of claims processing activities including assessments, investigation reports and settlement documentation.
  • Identify and flag potential fraudulent claims collaborating with the fraud investigation team when necessary.
  • Ensure all claims are processed in adherence to company policies, industry regulations and legal requirements.
  • Collaborate with the legal team on disputed claims or cases involving litigation to ensure proper handling.
  • Deliver exceptional customer service by addressing claim-related inquiries resolving disputes and ensuring a smooth claims experience for policyholders.
  • Recommend improvements to enhance efficiency and reduce claims processing time.
Requirements
  • A strong understanding of insurance policies, claims processes and regulatory requirements.
  • Proven negotiation and conflict resolution skills.
  • The ability to analyse complex claims data for fair settlement decisions.
  • Strong communication skills both verbal and written.
  • Attention to detail with excellent organisational abilities.
  • The ability to work independently and manage multiple claims simultaneously.

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