Claims Settlement Specialist

1 week ago


Pushkar, Rajasthan, India beBeeClaims Full time ₹ 8,00,000 - ₹ 12,50,000
Claims Settlement Professional

We are seeking an experienced Claims Settlement Professional to oversee the entire claims settlement process from submission to final resolution.

  • Claims Management: Manage the entire claims process, reviewing submitted documentation and determining eligibility based on policy coverage.
  • Data Analysis: Analyse data according to provided Standard Operating Procedures (SOPs) 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.
  • Fraud Detection: Identify and flag potential fraudulent claims, collaborating with the fraud investigation team when necessary.
  • Compliance: Ensure all claims are processed in adherence to industry regulations and legal requirements.

The ideal candidate will possess a strong understanding of insurance policies, excellent negotiation skills, and adherence to industry standards and legal regulations. They should be able to work independently and manage multiple claims simultaneously. We offer a competitive salary, comprehensive health benefits, opportunities for career advancement, and a collaborative work environment focused on customer satisfaction.



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