Operations

Claims Manager

Mumbai, Maharashtra   |   Full time
  • Claims Manager will be acting as the custodian of all the Claims handled by the Organization. The Claims Manager will have to ensure that all the claims are addressed as per stipulated guidelines.
    The manager will also be responsible for setting up an active frauds detection and prevention mechanism to ensure that there is minimum leakage.
    A manager will also work with Insurance Underwriters to ensure that the Claims that are payable are paid to us in a timely manner. Claims will also play a key role in the administration of the policy in terms of governing the loss ratios etc.

    Job Role and Responsibility: 
    - Managing and coaching a team
    - Working with the insurance companies, surveyors and loss adjusters
    - Working with external Claims Management agencies to ensure that Claims are reviewed in a timely and accurate manner
    - Ensure claims are dealt in accordance with the industry practices
    - Dealing with Customer complaints and appeals
    - Working on complex or fraudulent cases
    - Maintaining Quality and Customer service standards
    - Keeping accurate records
    - Overall responsible for the department's productivity and targets

    Skill Requirements 
    - Experience in Insurance Domain
    - Excellent communication skills
    - NIA certification will be an added advantage

    Work experience: 5 to 10 year of relevant experience in a professional environment
    Location: Mumbai
    Education: At least a Graduate; MBA will be an added advantage

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