Senior Claims Specialist

5 days ago

Hyderabad Secunderabad Telangana, India beBeeClaims Full time
Insurance Claims Examiner

About the Position:

We are seeking a highly skilled Insurance Claims Examiner to investigate reports of accidents/incidents, manage claims inventories, and advocate for claimants. As an integral member of our international claims team, you will gain exposure to claims handling protocols in various regions.

Key Responsibilities:

  • Investigate new claims by reviewing first reports of loss and supporting materials to determine the best initial contact; communicate with claimants, drivers, passengers, witnesses, etc.
  • Manage an inventory of claims to evaluate covered losses and liability exposure.
  • Advocate for claims on behalf of claimants to support white-glove customer service in tandem with quick resolution.
  • Build internal reporting processes and procedures for auto-related and personal accident claims which will scale with our growth.
  • Develop, maintain, and analyze appropriate metrics, governance, and control mechanisms for specialized claims handling.

Requirements:

  • Bachelor's Degree or equivalent.
  • Fluent in oral and written English.
  • Professional capability in other international languages is a plus and differentiator.
  • 3+ years of General Insurance Claims handling experience is required.
  • Effective written and verbal communication skills to provide information in a clear and concise manner and to communicate with a variety of individuals.
  • Extremely detail-orientated, organized, and a self-starter.
  • Effective analytical skills to gather information, analyze facts, and make recommendations.

Preferred Qualifications:

  • Early and Effective Investigation: Experience in immediately gathering crucial evidence at the 'first notice of loss'.
  • Proactive Pre-Litigation Claims Handling Strategy: Experience in conducting a rapid, initial assessment of a new claim to determine its key characteristics: severity, complexity, potential for fraud, and likely liability.
  • Regulatory Knowledge: A strong understanding of the general insurance regulatory frameworks governing personal injury claims in India is a must, plus those of having knowledge in various APAC countries.
  • Fraud Detection: Experience in identifying red flags for fraudulent PA and TP claims, such as exaggerated injuries or damages, staged accidents, or phantom passengers.

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