Fire & Home Insurance Claims
7 days ago
Claims Handling:
- Manage end-to-end claims processes for home insurance policies, covering both structure and/or
contents.
- Ensure accurate and thorough evaluation of claims documentation for compliance with policy terms
and conditions.
- Manage end-to-end claims processes for home insurance policies, covering both structure and/or
contents. Assess and validate claims arising from any of the following insured events:
- Fire
- Explosion or Implosion
- Lightning
- Earthquake, volcanic eruption, or other convulsions of nature
- Storm, Cyclone, Typhoon, Tempest, Hurricane, Tornado, Tsunami, Flood, and
Inundation
- Subsidence of land, Landslides, or Rockslides
- Bush fire, Forest fire, Jungle fire
- Impact damage caused by external objects (e.g., vehicles, falling trees, aircraft, walls,
etc.)
- Missile testing operations
- Riots, Strikes, Malicious Damages
- Acts of terrorism (as per the Terrorism Clause)
- Bursting or overflowing of water tanks, apparatus, and pipes
- Leakage from automatic sprinkler installations
- Theft
Customer Interaction:
- Act as a primary point of contact for customers, providing clear guidance and support throughout the
claims process.
- Communicate policy coverage details, exclusions, and settlement outcomes professionally and
empathetically.
Claims Assessment and Investigation:
- Collaborate with surveyors, loss assessors, and other relevant stakeholders to verify claims and assess
damage.
- Conduct detailed evaluations of claim eligibility and recommend settlement amounts based on policy
guidelines.
Regulatory Compliance:
- Maintain accurate and detailed claims records, ensuring compliance with internal policies, regulatory
requirements, and KYC norms.
- Stay updated on regulatory guidelines related to home insurance and P&C claims handling.
- Fraud Detection:
Identify potential fraudulent claims and escalate them to the appropriate teams for further investigation.
Team Collaboration:
- Work closely with underwriters, surveyors, and other internal teams to facilitate efficient claim
settlements.
- Provide insights and feedback based on observed claim trends and customer feedback, which helps
Underwriters and the product development team for better product & benefit planning.
Key Competencies:
- Empathy and professionalism in customer interactions.
- Ability to handle multiple claims efficiently while maintaining accuracy.
- Collaborative mindset with the ability to work across teams and departments.
- A proactive approach to identifying and resolving claims-related challenges
This role offers an opportunity to leverage your expertise in P&C insurance and home insurance claims
management while delivering a superior customer experience.
Expertise and Qualifications
- Any Bachelors degree, preferably in Finance, Business, insurance, or a related field.
- Minimum 3-5 years of experience in insurance claims handling, with a preference for expertise in Property
and Casualty (P&C) insurance.
- Comprehensive knowledge of home insurance products, insured event coverages, and exclusions.
- Strong analytical skills and attention to detail for claims assessment and validation.
- Excellent customer service and communication skills.
- Proficiency in claims management systems and related tools.
- Familiarity with regulatory compliance, fraud prevention, and KYC processes.
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