Job Description

We are seeking a skilled and motivated Claims Executive to join our team. The ideal candidate will play a crucial role in our claims management process, ensuring timely and accurate handling of claims while maintaining a high level of customer satisfaction. Responsibilities:

• Claims Processing: Receive, review, and process insurance claims from clients, policyholders, or third parties. Verify claim details, assess coverage, and determine the validity of claims based on company policies and procedures.
• Investigation: Conduct thorough investigations to gather relevant information, assess damages, and determine liability. Coordinate with field experts, assessors, and legal teams as needed to facilitate accurate claims assessment.
• Documentation: Maintain accurate and organized claims records by documenting all interactions, decisions, and communications related to each claim. Ensure that all required documentation is complete and filed appropriately.
• Communication: Communicate effectively with claimants, policyholders, and other stakeholders to provide updates on claim status, request additional information when needed, and address any inquiries or concerns promptly.
• Negotiation: Engage in negotiation processes to settle claims in a fair and cost-effective manner. Collaborate with legal teams or external parties to ensure compliance with legal and regulatory requirements.
• Resolution: Work towards the timely resolution of claims by making informed decisions based on gathered information, coverage analysis, and company guidelines. Provide recommendations on settlement amounts and escalate complex or high-value claims as necessary.
• Customer Service: Provide excellent customer service by addressing customer inquiries, resolving issues, and ensuring a positive claims experience for all parties involved.
• Reporting: Prepare regular reports on claims activities, including claim volumes, trends, and key performance indicators. Analyze data to identify areas for process improvement and efficiency enhancement.
• Quality Assurance: Conduct quality checks on completed claims to ensure accuracy, consistency, and compliance with company policies and industry standards.

Qualifications:

• Bachelor\'s degree in a relevant field or equivalent work experience.
• Proven experience in claims handling, preferably in the insurance industry.
• Strong knowledge of insurance policies, coverage, and claims processes.
• Excellent communication and negotiation skills.
• Detail-oriented with the ability to analyze information and make informed decisions.
• Proficient in using claims management software and tools.

Job Type: Full-time Salary: Up to \xe2\x82\xb925,000.00 per month Benefits:

• Provident Fund

Schedule:

• Day shift

Supplemental pay types:

• Performance bonus

Experience:

• total work: 1 year (Preferred)
• claims settlement: 1 year (Required)

Ability to Commute:

• Surat, Gujarat (Required)

Ability to Relocate:

• Surat, Gujarat: Relocate before starting work (Required)

Work Location: In person