Team Member

2 days ago

Bengaluru Karnataka, India bajajallianz Full time

**Claims operations**

On monthly basis, monitor key performance parameters such as
- Claims settlement TAT
- Claim Settlement Ratio
- Efficiency ratio, etc.;
- Track deviations against set targets and identify reasons for deviations
- Closely monitor and control the high ageing open claims, including co-insurance claims
- Review the reserve revisions for Non Motor claims in the zone
- Enter into a discussion and negotiation with the surveyor and the client in order to obtain his consent and release payment accordingly
- To keep liaison with other departments
- **Co-ordinate with Surveyor/Investigator**
- Recommend head office to empanel service provider, after taking market feedback.
- Appoint appropriate surveyor and other service providers to carry out survey and assessment of loss, of reported claims**.**:

- Monitor claims assessment and inspection conducted by surveyors in alignment with BAGIC’s claims guidelines
- Maintain effective professional relationship with all the service providers including surveyors.
- **Claims Review and Approval**
- Study the claim related files such as brief, mandatory documents, survey reports and team leader/member recommendations for approval/advice
- Review and approval of claims upto DOA for all Non Motor LOBs
- Review and approve the repudiation cases upto DOA
- Recommend claims above DOA to the superior/NHOD for approval/repudiation
- **Team development**
- Establish individual performance expectations for team members and regularly review their performance in discussions with superior/NHOD
- Conducting the need based training program for the development of the team members on all product and processes

**Mandatory Skills**:
Experience of non-motor claims in insurance industry. Past experience of corporate surveyor company

**Desirable Skills**:
1.Good communication skills. 2.Flexible & adaptable to change. 3.Well versed with MS Office. 4.Should have good analytical and problem-solving skills. 5.Should be aware of the Local language.

**Years Of Experience**:
**6 to 8 years**

**Education/Qualification**:
Engineering Graduate or Cost Accountant / Chartered Accountant ? Insurance qualification - Fellowship/CII/MBA in Insurance

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