Senior Analyst Claims Adjusting

1 day ago

All India Selections HR Services Private Limited Full time ₹ 5,00,000 - ₹ 15,00,000 per year

Role Overview: As a Senior Analyst in Claims Adjusting specializing in Medical Malpractice Insurance, you will be responsible for managing the entire lifecycle of medical malpractice claims. This includes conducting in-depth investigations, analyzing claim details, reviewing medical records and legal documents, determining insurance coverage, coordinating with various stakeholders, and ensuring compliance with relevant laws and standards. Your role will involve thorough documentation of claims and reports to facilitate the resolution process efficiently. Key Responsibilities: - Manage the entire lifecycle of medical malpractice claims - Conduct in-depth investigations and analyze claim details - Review medical records and legal documents - Determine insurance coverage and coordinate with various stakeholders - Ensure compliance with relevant laws and standards - Thoroughly document claims and reports to facilitate the resolution process efficiently Qualifications Required: - Strong educational background with a preference for a degree in insurance, law, or a related field - Minimum of 3 years of experience in medical malpractice litigation or claims - Comprehensive understanding of malpractice insurance policies, exclusions, and legal frameworks - Possess certifications such as AIC, AINS, or Cert CII (advantageous) - Analytical skills, negotiation abilities, and interpersonal communication skills Additional Details: Flexibility in working hybrid shifts as per business requirements is essential for this position. By demonstrating your expertise in claims adjusting and your adherence to compliance with medical malpractice laws, regulatory standards, and company policies, you will contribute significantly to the efficient resolution of medical malpractice claims.,

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