Analyze and process insurance claims from start to finish, ensuring accuracy and compliance with policy guidelines.
Required skills and qualifications
Strong communication, negotiation, and interpersonal skills.
Excellent analytical and problem-solving abilities.
Attention to detail and ability to maintain accurate records.
Proficiency in computer skills and claims management software.
Solid knowledge of insurance policies, procedures, and relevant regulations.
Investigate claims:
Gather information, conduct interviews, and analyze data to assess the validity of claims and identify potential fraud.
Communicate with stakeholders:
Liaise with policyholders, claimants, agents, and other departments to gather necessary information and provide updates on claim status.
Determine coverage and payment:
Evaluate claims based on policy terms, negotiate settlements within company guidelines, and calculate benefits due.
Maintain records:
Document all claim activities and interactions in a claims management system, ensuring all records are accurate and up-to-date.
Ensure compliance:
Stay informed about industry regulations and policy changes to ensure all claims are handled in accordance with legal and company requirements.
Resolve issues:
Address and resolve discrepancies, disputes, and complex claim issues by applying sound judgment and collaborating with other teams.
Job Type: Full-time
Pay: ₹25,000.00 - ₹35,000.00 per month
Ability to commute/relocate:
Guntur, Andhra Pradesh: Reliably commute or willing to relocate with an employer-provided relocation package (Preferred)
Education:
Bachelor's (Required)
Experience:
Insurance verification: 5 years (Required)
Language:
Telugu,English (Required)
License/Certification:
Insurance claims (Required)
Location:
Guntur, Andhra Pradesh (Preferred)
Work Location: In person
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