Insurance Claims Manager

2 weeks ago


Hyderabad, Telangana, India Kshema Full time

Claims Management Role

Kshema is seeking a highly experienced Insurance Claims Manager to oversee the claims processing lifecycle from initiation to settlement. This role is responsible for providing claim settlement focused on efficiency, accuracy, and customer satisfaction.

Key Responsibilities:

  • To oversee the claims processing lifecycle from initiation of a claim through to settlement.
  • Responsible for building a strong and robust team as well as implementing processes around claims servicing.
  • Structured team reviews and publishing of process monitoring dashboards on a regular basis to ensure that SOP is adhered to and promptly escalated exceptions on process compliance as appropriate.
  • Stay up to date on industry regulations and compliance requirements, ensuring adherence to legal and regulatory standards.
  • Thorough on the compliance and regulatory requirements and implementation in the claims process.
  • Ensure claims of valid settlements are made according to the company practice and procedures.
  • Examine claim forms and records to determine the coverage in the insurance policy statements.
  • Collaborate with Underwriting, Actuarial, Finance and other stakeholders to ensure knowledge sharing on market trends, legal changes, and loss developments.
  • Building a new age claim management system along with the tech department.
  • Set up and create robust governance to manage claim assessment and settlement process.

Requirements:

  • Must have 12-14 years' experience of Insurance claims management.
  • Minimum 2-3 years' experience in lead role.
  • Need experience of setting up a team from scratch (Preferred but not mandatory).
  • Should Have excellent verbal and written communication skills.

Educational Qualification:

MBA/CA/Agri Graduate/preferably agricultural related graduate degree.



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