Expert Insurance Claims Specialist

4 days ago


Nagpur, Maharashtra, India beBeeInsurance Full time ₹ 15,00,000 - ₹ 25,00,000
Claims Resolution Expert

We are seeking a highly skilled Claims Resolution Expert to manage the entire claims lifecycle from submission to final resolution.

Key Responsibilities:
  • Claims Management: Handle the entire claims process, from reviewing submitted documentation to determining eligibility based on policy coverage.
  • Data Analysis: Analyse data according to the provided SOPs (Standard Operating Procedures) to ensure accurate and efficient claim handling.
  • Claim Validation & Investigation: Conduct thorough investigations by collecting relevant data, conducting interviews, and working with adjusters and external experts to verify claim validity.
  • Client Communication: Keep policyholders and agents informed on the status of claims, provide clarity on coverage decisions, and guide them through the settlement process.
  • Settlement Negotiation: Negotiate settlement amounts with claimants and third parties, ensuring that settlements are fair, within policy limits, and compliant with legal standards.
  • Documentation & Reporting: Maintain detailed records of claims processing activities, including assessments, investigation reports, and settlement documentation.
Requirements:
  • Strong understanding: Of insurance policies, claims processes, and regulatory requirements.
  • Proven skills: In negotiation and conflict resolution.
  • Ability: To analyze complex claims data for fair settlement decisions.
  • Communication skills: Both verbal and written.
  • Attention to detail: With excellent organizational abilities.
Benefits
  • A challenging and rewarding role in claims resolution.
  • The opportunity to work with a dynamic team in a fast-paced environment.
  • Ongoing training and development opportunities to enhance your skills and expertise.


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