Risk Insurance Claims Specialist

1 week ago


Kolkata, West Bengal, India beBeeClaimsManager Full time ₹ 15,00,000 - ₹ 20,00,000
Claims Management Opportunity

We are seeking an experienced and skilled Claims Manager to join our team. As a Claims Manager, you will be responsible for managing the claims process for clients, ensuring a smooth and fair settlement of claims.

This is a challenging role that requires strong analytical skills, effective communication, and negotiation skills. If you have experience in claims processing, claims handling, or related roles within the insurance industry, we encourage you to apply.

Key Responsibilities:
  • Manage Claims Process:
    • Analyze claim details, policy information, and relevant documents to make informed decisions.
    • Ensure all necessary documentation is collected and maintained for each claim, including client statements, accident reports, and relevant records.
  • Client Advocacy and Communication:
    • Act as the main point of contact for clients during the claims process, providing timely updates and information.
    • Advocate for clients' interests and rights, ensuring a fair and just settlement of claims.
  • Settlement or Compromised Settlement:
    • Engage in substantiating the claim to the insurers to secure optimal claim settlements for clients.
    • Ensure that settlements are fair and appropriate, considering policy terms, legal requirements, and clients' expectations.
  • Conflict Resolution and Customer Service:
    • Address client concerns, disputes, and inquiries related to claims in a professional and timely manner.
    • Facilitate conflict resolution and maintain positive client relationships throughout the claims process.
Required Skills and Qualifications:
  • Insurance Knowledge:
    • Possesses a strong understanding of insurance policies, coverages, and claims processing.
    • Familiarity with insurance regulations, industry standards, and claims-related legal aspects.
  • Technical Qualifications:
    • Licentiate / Associate / Fellow of III preferred.
  • Communication and Interpersonal Skills:
    • Demonstrates clear and effective communication, both written and verbal, to convey complex information to clients and internal stakeholders.
    • Exhibits strong interpersonal skills to manage client interactions with empathy and professionalism.
  • Analytical Thinking and Problem-Solving:
    • Utilizes analytical skills to assess claim details, policy information, and relevant documents to make informed decisions.
    • Identifies potential challenges and develops effective solutions to ensure smooth claims processing.
  • Negotiation and Persuasion:
    • Demonstrates effective negotiation skills to achieve optimal claim settlements for clients.
    • Persuasively presents clients' cases and arguments to insurers, supporting claims in the best interest of clients.
  • Interpersonal Skills:
    • Strong interpersonal skills, including the ability to empathize with clients, manage client expectations, and effectively communicate during the claims process.
Benefits:
  • Professional Development Opportunities:
    • Relevant certifications in claims management or insurance claims are beneficial.
  • Competitive Salary and Benefits Package:
    • A bachelor's degree in business, insurance, finance, or a related field is preferred.
  • Technology Proficiency:
    • Proficient in using claims management systems, CRM software, and Microsoft Office suite (Word, Excel, Outlook, etc.).
Other Requirements:
  • Banking Experience:
    • Experience of handling Fire / Engineering / Miscellaneous Claims – A Must.


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