Insurance Policy Analyst

12 hours ago


Erode, Tamil Nadu, India beBeeFraud Full time ₹ 9,00,000 - ₹ 15,00,000

Job Title: Claims Specialist

We are seeking an experienced professional to manage the entire claims settlement process from submission to final resolution.

  • Assess claims and investigate their validity
  • Coordinate with adjusters and ensure timely and fair settlements

The ideal candidate will have a strong understanding of insurance policies, excellent negotiation skills, and adherence to industry regulations and standards.

Key Responsibilities:
  • Claims Processing:
    • Review submitted documentation and determine eligibility based on policy coverage
    • 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
  • Client Communication:
    • Keep policyholders informed on the status of claims
  • Settlement Negotiation:
    • Negotiate settlement amounts with claimants and third parties
  • Documentation & Reporting:
    • Maintain detailed records of claims processing activities
  • Fraud Detection:
    • Identify and flag potential fraudulent claims
  • Compliance:
    • Ensure all claims are processed in accordance with industry standards and legal requirements

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