Claims Management Specialist

2 days ago


India PrishaPolicy Full time

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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