Claims Management Specialist
2 days ago
About Prisha Insurance Brokers
We are a leading insurance brokerage firm dedicated to providing comprehensive insurance solutions. Our team is passionate about delivering exceptional customer service and tailored insurance products.
Job Role: Claims Department Specialist
The ideal candidate will play a crucial role in managing insurance claims, ensuring timely and fair resolution while maintaining the highest level of customer satisfaction. Strong analytical skills, excellent communication abilities, and a passion for efficient claims management are essential.
Key Responsibilities:
- Evaluate, investigate, and process insurance claims in accordance with company policies and regulatory requirements.
- Communicate effectively with policyholders, claimants, and stakeholders to gather necessary information and provide updates on claim status.
- Maintain accurate and thorough documentation for all claims, including forms, correspondence, and supporting evidence.
- Assess claim validity, determine coverage, and approve or deny claims based on policy terms and conditions.
- Collaborate closely with underwriting, legal, and finance departments to resolve complex claims and ensure seamless operations.
- Identify potential fraudulent claims and coordinate investigations with relevant departments.
- Present regular reports on claims activities, including trends, statistics, and any issues or delays.
- Contribute to process improvement initiatives to enhance efficiency and customer satisfaction.
Requirements:
- Previous experience in claims management or a similar role in the insurance industry.
- Strong analytical and problem-solving skills.
- Excellent communication and interpersonal skills.
- Proficiency in insurance-related software and Microsoft Office Suite.
- Able to handle multiple tasks and work under pressure.
- Familiarity with insurance laws and regulations is an advantage.
Salary Estimate: The estimated annual salary for this position is around $65,000 - $85,000 depending on location and experience.
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