Job Description

:

• Claims operations

On monthly basis, monitor key performance parameters such as - * Claims settlement TAT

• Claim Settlement Ratio
• Efficiency ratio, etc.;

• Track deviations against set targets and identify reasons for deviations
• Closely monitor and control the high ageing open claims, including co-insurance claims
• Review the reserve revisions for Non Motor claims in the zone
• Enter into a discussion and negotiation with the surveyor and the client in order to obtain his consent and release payment accordingly
• To keep liaison with other departments
• Co-ordinate with Surveyor/Investigator

• Recommend head office to empanel service provider, after taking market feedback.
• Appoint appropriate surveyor and other service providers to carry out survey and assessment of loss, of reported claims.
• Monitor claims assessment and inspection conducted by surveyors in alignment with BAGIC's claims guidelines
• Maintain effective professional relationship with all the service providers including surveyors.
• Claims Review and Approval

• Study the claim related files such as brief, mandatory documents, survey reports and team leader/member recommendations for approval/advice
• Review and approval of claims upto DOA for all Non Motor LOBs
• Review and approve the repudiation cases upto DOA
• Recommend claims above DOA to the superior/NHOD for approval/repudiation
• Team development

• Establish individual performance expectations for team members and regularly review their performance in discussions with superior/NHOD
• Conducting the need based training program for the development of the team members on all product and processes

Mandatory Skills:
Experience of non-motor claims in insurance industry .
Past experience of corporate surveyor company
Desirable Skills:
1.Good communication skills.
2.Flexible & adaptable to change.
3.Well versed with MS Office.
4.Should have good analytical and problem-solving skills.
5.Should be aware of the Local language.
Years Of Experience:
6 to 10 years
Education/Qualification:
Engineering Graduate or Cost Accountant / Chartered Accountant
Insurance qualification - Fellowship/CII/MBA in Insurance
Department:
West
Skills Required:
Non-Motor, Claims Processing, Settlements, Review, Approvals, General Insurance
Role:
2
Years Of Exp:
3 to 7 Years
Education/Qualification:
Graduate/PG
Desirable Skills:
1.Good communication skills. 2.Flexible & adaptable to change. 3.Well versed with MS Office. 4.Should have good analytical and problem-solving skills. 5.Should be aware of the Local language.
Designation:
Executive Non Motor Claims