Insurance Claims Expert

4 hours ago


Agra, Uttar Pradesh, India beBeeInsurance Full time ₹ 9,00,000 - ₹ 12,22,000

Job Title: Insurance Claim Settlement Specialist

Location: Agra/Remote

  • We are seeking a seasoned Insurance Claim Settlement Specialist to oversee the entire claims settlement process from initiation to resolution.
  • The ideal candidate will scrutinize claims, investigate their legitimacy, coordinate with adjusters, and ensure timely and fair settlements.

A deep understanding of insurance policies, exceptional negotiation skills, and adherence to industry standards and legal regulations are essential for success in this role.

Key Responsibilities:
  • Claims Processing:
    • Manage the entire claims process, from reviewing submitted documentation to determining eligibility based on policy coverage.
    • Analyse data according to established SOPs (Standard Operating Procedures) 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:
    • Maintain open communication with policyholders and agents on the status of claims, provide clarity on coverage decisions, and guide them through the settlement process.
  • Fraud Detection:
    • Identify and flag potential fraudulent claims, collaborating with the fraud investigation team when necessary.

Required Skills & Qualifications:

  • Strong understanding of insurance policies, claims processes, and regulatory requirements.
  • Proven negotiation and conflict resolution skills.
  • Ability to analyse complex claims data for fair settlement decisions.

What We Offer:

  • A competitive salary with performance-based bonuses.
  • A collaborative work environment focused on customer satisfaction.


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