Senior Claim Resolution Specialist

1 week ago

Chennai, Tamil Nadu, India beBeeInsurance Full time ₹ 80,00,000 - ₹ 1,20,00,000
Job Title:

Insurance Claims Handler

Job Overview:

We are seeking a skilled Insurance Claims Handler to manage the entire claims process from submission to final resolution. The ideal candidate will assess claims, investigate their validity, and ensure timely and fair settlements.

Key Responsibilities:
  • Claims Processing:
    • Handle submitted documentation, determine eligibility based on policy coverage, and process claims accordingly.
  • Data Analysis:
    • Analyse data according to 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:
    • Maintain open communication with policyholders and agents regarding claim status, coverage decisions, and settlement processes.
  • Settlement Negotiation:
    • Negotiate settlement amounts with claimants and third parties, ensuring that settlements are fair, within policy limits, and compliant with legal standards.
  • Fraud Detection:
    • Identify potential fraudulent claims and collaborate with the fraud investigation team when necessary.
  • Compliance:
    • Ensure all claims are processed in adherence to company policies, industry regulations, and legal requirements.
Required Skills and Qualifications:
  • Strong understanding of insurance policies, claims processes, and regulatory requirements.
  • Proven negotiation and conflict resolution skills.
  • Ability to analyze complex claims data for fair settlement decisions.
  • Strong communication skills, both verbal and written.
  • Attention to detail with excellent organizational abilities.
What We Offer:
  • Competitive salary with performance-based bonuses.
  • Comprehensive health, dental, and vision benefits.
  • Opportunities for career advancement and professional development.

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