Job Description

1.

Claims Management:

Manage the end-to-end claims process, from claim intimation, required documentation, coordination with the deputed surveyors, investigation, negotiation & settlement within expected timeline.
2.

Client Communication:

Serve as the primary point of contact for clients regarding claims-related inquiries and updates, providing timely and accurate information.
3.

Policy Scrutiny:

Review insurance policies to determine coverage, adequacy of sum insured and ensure compliance with policy terms and conditions.
4.

Vendor Management:

Coordinate with external vendors such as adjusters, appraisers, valuers, risk management agencies and legal counsel to facilitate the claims process and ensure efficient resolution.
5.

Data Analysis:

Analyze claims data to identify trends, patterns, and opportunities for process, coverage & price improvement.
6.

Risk Assessment

: Identification & assessment of gap in cover opted in existing policy, arrange for risk management surveys, recommend process/measures to prevent/minimize potential loss to the client.
7.

Regulatory Compliance:

Stay up to date on industry regulations and compliance requirements, ensuring adherence to legal and regulatory standards.
8.

Documentation:

Maintain accurate and detailed records of business, claims activity including risk assessment, correspondence, and settlements.
9.

Client Advocacy:

Advocate on behalf of clients to ensure fair and equitable claims settlements, negotiating with insurance companies as necessary.

10.

CBA:

Preparation & presentation of Cost Benefit Analysis to the clients with regards to clients insurance portfolio against incurred claim.

Preferred candidate profile

Graduate/Post-Graduate/Engineer with insurance qualification (Associate/Fellow) with minimum 2-3 years of experience in managing claims in any reputed general insurance company/insurance broker with proven track record.
Adequate working knowledge of Insurance line of products viz Motor, Fire, Marine, Liability, Health & Miscellaneous policies & claims management.
Risk management understanding & efficiency