Claims Resolution Expert

15 hours ago

Kottayam, Kerala, India beBeeNegotiation Full time ₹ 45,00,000 - ₹ 85,00,000

Job Overview:

We are seeking an experienced Claims Resolution Expert to manage the claims process from submission to final resolution. The ideal candidate will assess claims, investigate their validity, coordinate with adjusters, and ensure timely and fair settlements.

The successful candidate will have a strong understanding of insurance policies, excellent negotiation skills, and adherence to company standards and legal regulations.

  • Key Responsibilities
  • Assess claims and determine eligibility based on policy coverage.
  • Analyse data according to provided SOPs to ensure accurate and efficient claim handling.
  • Conduct thorough investigations by collecting relevant data, conducting interviews, and working with adjusters and external experts to verify claim validity.
  • Negotiate settlement amounts with claimants and third parties, ensuring that settlements are fair, within policy limits, and compliant with legal standards.
  • Maintain detailed records of claims processing activities, including assessments, investigation reports, and settlement documentation.
  • Identify and flag potential fraudulent claims, collaborating with the fraud investigation team when necessary.

Requirements

  • Strong understanding of insurance policies and claims processes.
  • Proven negotiation and conflict resolution skills.
  • Ability to analyse complex claims data for fair settlement decisions.
  • Strong communication skills, both verbal and written.
  • Attention to detail with excellent organisational abilities.

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