Job Description

A job description for an Insurance Claims Executive includes overseeing claims processing from initiation to settlement, ensuring claims are handled efficiently and comply with regulations. Key responsibilities involve coordinating with underwriting and other teams, managing client relationships, resolving issues, implementing process improvements, and verifying claims documentation. The role also requires a strong understanding of claims policies, attention to detail for fraud prevention, and effective communication with customers and intermediaries.

Key responsibilities

Claims processing:

Manage the end-to-end claims cycle, including assessment, validation, calculation of benefits, and settlement.

Operational oversight:

Oversee daily operations, ensuring efficient processing of policies and claims and coordinating with other departments like underwriting.

Customer and stakeholder management:

Engage with customers and intermediaries to resolve queries and complaints, providing excellent service.

Documentation and compliance:

Ensure all claims documentation is accurate and complete, and adhere to all legal, regulatory, and company policies.

Process improvement:

Analyze and implement process improvements to enhance service efficiency and quality.

Fraud prevention:

Investigate potentially fraudulent claims and analyze information to identify inconsistencies.

Reporting:

Prepare and present reports related to claims operations and financial data.

Key skills and qualifications

Technical skills:

Proficiency in insurance software, MS Office, and data management.

Soft skills:

Strong analytical and problem-solving skills, excellent communication and interpersonal skills, attention to detail, and the ability to work under pressure.

Job Type: Full-time

Pay: ?300,000.00 - ?475,000.00 per year

Work Location: In person