Executive-Appeal & Specialised Claims

3 days ago

Indore, Madhya Pradesh, India Bajaj Allianz Life Insurance Full time ₹ 12,00,000 - ₹ 36,00,000 per year

Executive-Appeal & Specialised Claims

Description
  • Review the MIS on an on-going basis for claims closure, claim size and settlement ratio for the allocated region.
  • Propose the amount that needs to be reserved for each case after consultation with claims team to the based on case facts
  • Collect all evidences relevant to the case in coordination with claims team and thereby devise an appropriate case strategy in consultation with claims team.
  • Prepare and file the WS,affidavit and document in the court; appear in court when required
  • Collaborate with the advocate vendors on implementing the case strategy
  • Prepare for effective contest before appropriate court/forum or tribunal and early closure of claims if it is categorized as compromise (No defense case); conduct a thorough review, meticulous follow-up on pending cases, attempt compromise in possible cases.
  • Drive the team to meet their targets by conducting regular meetings to track progress on set targets
  • Guide the team to execute the appropriate line of action in respect of defense/contest case so as to have quick and proper closure of cases.
  • Act as guide for team for tough negotiations (for compromise possible cases) and critical defense/contest cases.
  • Control the claim size for the region by checking and maintain the quality of claims that are settled
  • Liaise with other internal functions such as Claim teams, ILM, Operations, underwriting to ensure successful closure of cases
Skills Required

Should have excellent interpersonal and nInsurance & Allied Sector Awareness ; Claims Excellence ; Legal Risk Mitigationegotiation skills

Education/Qualification

Graduate/ Post Graduate

Desirable Skills

None

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