AVP - Claims

Roles & Responsibilities:

• To oversee the claims processing lifecycle from initiation of a claim through to settlement.
  
• This role is tasked with providing Claim settlement focused on efficiency, accuracy, and customer satisfaction.
  
• Responsible for building a strong and robust team as well as implement processes around claims servicing.
  
• Structured Team reviews & publishing of process monitoring dashboards on a regular basis to ensure that SOP is adhered to and promptly escalated exceptions on process compliance as appropriate.
  
• Stay up to date on industry regulations and compliance requirements, ensuring adherence to legal and regulatory standards.
  
• Thorough on the compliance and regulatory requirements and implementation in the claims process.
  
• Ensure claims of valid settlements are made according to the company practice and procedures.
  
• Examine claim forms and records to determine the coverage in the insurance policy statements.
  
• Collaborate with Underwriting, Actuarial, Finance and other stakeholders to ensure knowledge sharing on market trends, legal changes, and loss developments.
  
• Building a new age claim management system along with tech department
  
• Set up and create robust governance to manage claim assessment and settlement process.
  

Required Skills:

• Must have 12-14 years’ experience of Insurance claims management.
  
• Minimum 2-3 years’ experience in lead role.
  
• Need experience of setting up a team from scratch (Preferred but not mandatory)
  
• Should Have excellent verbal and written communication skills.
  

Educational Qualification:

MBA/CA/Agri Graduate/preferably agricultural related graduate degree.