Claims Officer

1 week ago

Elamakkara Kochi Kerala, India Regiis Insurance Brokers Private Limited Full time

**Job Summary**:
The Claims Officer will be responsible for managing end-to-end claims processing, ensuring accurate and timely settlement, maintaining claims-related MIS, and assisting with underwriting tasks. The role requires coordination with insurers, clients, and internal teams to facilitate smooth claim resolution while upholding compliance and quality standards.

**Key Responsibilities (KRA):1. Claims Management**
- Process and manage claims from intimation to final settlement.
- Verify claim documents and ensure completeness before submission to insurers.
- Liaise with insurers, surveyors, and TPAs to expedite claim resolutions.
- Conduct claims assessment and analyze claim patterns to mitigate risks.
- Handle client queries related to claims and provide proactive updates.

**2. MIS Management & Reporting**
- Maintain and update claims data in the MIS system.
- Generate periodic reports on claim trends, settlement timelines, and outstanding cases.
- Provide analytical insights based on claim reports for decision-making.
- Ensure data accuracy and compliance with regulatory requirements.

**3. Underwriting Support**
- Assist in reviewing policy documents and underwriting proposals.
- Analyze claim history to provide underwriting recommendations.
- Coordinate with underwriters to ensure risk assessment aligns with claim trends.
- Ensure adherence to underwriting guidelines and risk appetite.

**4. Compliance & Documentation**
- Ensure all claims adhere to regulatory and company guidelines.
- Maintain detailed documentation of claims and underwriting records.
- Support internal and external audits with necessary reports and evidence.

**5. Stakeholder Coordination**
- Coordinate with clients, insurers, legal teams, and surveyors for claim settlements.
- Educate clients on claim processes and documentation requirements.
- Work closely with internal teams to improve claim turnaround time.

**Qualifications & Experience**:

- Bachelor's degree.
- Knowledge in Insurance, Finance, Business, or a related field is preferred.
- 0-5 years of experience in claims management within an insurance or broking company.
- Strong knowledge of underwriting principles and claim processes.
- Experience with MIS tools and data analytics for claim monitoring.
- Excellent communication and negotiation skills.
- Proficiency in MS Excel, insurance software, and reporting tools.

**Job Types**: Full-time, Permanent

Pay: ₹240,000.00 - ₹300,000.00 per year

**Benefits**:

- Cell phone reimbursement
- Health insurance
- Leave encashment
- Life insurance
- Paid sick time
- Provident Fund

Schedule:

- Day shift
- Morning shift

Supplemental Pay:

- Commission pay
- Performance bonus
- Yearly bonus

Work Location: In person

**Speak with the employer**
+91 7510755578

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