Insurance Claims Specialist

18 hours ago

Mumbai, Maharashtra, India beBeeClaims Full time ₹ 12,00,000 - ₹ 24,00,000
Claims Resolution Expert

As a Claims Resolution Expert, you will play a pivotal role in ensuring timely and effective resolution of complex claims.

  • Receive claim notices from stakeholders and promptly notify relevant parties through our operations team.
  • Follow up with each party and the assigned claim adjuster to secure timely acknowledgment of the claim.
  • Ensure that all correspondence and actions from the lead insurer are effectively communicated to all relevant parties.
  • Proactively review all claims (new and old) and establish a plan of action to achieve a favorable claims resolution.
  • Verify claims in accordance with the terms and conditions of the policy.
  • Provide professional and timely communication with clients, brokers, and third parties to gather information and update them on the claims process.
  • Provide regular and comprehensive status reports to account executives and claims managers.
  • Work collaboratively with the wider claims team to ensure the effective handling, processing, and filing of claims on market and internal systems.
  • Develop PowerPoint presentations for internal and external stakeholders.
  • Chase for payments from insurers once claims have been approved to ensure prompt financial resolution.
  • Ensure that the MClaim file is closed correctly, and all necessary documentation is completed.
  • Collaborate with stakeholders to support the management of complex and high-value claims, providing assistance as needed to ensure effective resolution.
  • Assist stakeholders by delivering data and analytics insights on high-frequency accounts, helping to identify trends and inform decision-making.

What we require:

  • 7-8 years of experience in General Insurance domain across different types of claims, claims lifecycle, and claim data.
  • Graduate or master's degree in commerce, business administration, or equivalent education program in Insurance domain.
  • Sound knowledge of Marine insurance claims related to cargo, vessels, or liabilities along with marine insurance laws and maritime regulations.
  • Strong leadership skills with the ability to guide teams, make confident decisions, and drive results through collaboration and clear direction.
  • MS Office proficiency, particularly in Excel, Word, Outlook, and PowerPoint. Strong Excel skills are essential.
  • Excellent verbal and written communication skills - strong email writing skills.
  • Comfortable working with new-age data management tools.

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