Process Manager - Claims - Life Insurance
Job Purpose : To ensure that insurance claims are handled efficiently and that payment for valid claims are made to the nominee / beneficiary
Key Responsibilities :
- To handle claim assessment and control the process within TAT
- To analyze the case and trigger investigations wherever necessary
- To ensure appropriate scanning of claim documents for fraud check
- To respond to claimant queries / mails properly with prompt action
- To ensure client servicing, prompt reply, action initiation
- To ensuring payment of claim to the correct nominee/beneficiary
- To identify and mitigate the risk in discussion with manager
Specific Authorities( Financial & Non Financial) :
- Investigation trigger of Claims for appropriate Assessment
- Appropriate assignment of cases to Reinsurance for Opinion
- Preparation of letters in line with Company policy
Internal Key Performance Indicators :
- Accuracy in Claims Assessment & Payout = 100%
- Customer Management (Email/Calls) with NPS > 50
Job Requirements :
Qualifications : Graduate/Post Graduate (Preferably in Finance or Statistics)
Experience : 0-4 years of relevant experience
Functional Competencies :
- Claims & Risk assessment
- Reporting, Compliance and audits
- Analytical skills
- Process & System knowledge
Behavioral Competencies :
- Execution Excellence
- Customer Centricity
- Collaboration
- Business Acumen
Key Interactions :
Internal Nature or purpose of interaction :
- F&A, MIS team
- Daily coordination with finance/accounts team
- Automation requirement discussion
- Data from system MIS/Reports
External Nature or purpose of interaction :
- IDRA, clients
- To coordinate with claimants for documents, claim status
- To understand IRDA guidelines and updates
- To coordinate with Vendors for investigating potentially fraudulent claims
Keyskills: customer relations fa management customer service mis delivery
Nine years in the recruitment business, we have consistently maintained the highest standards, meeting our clients' requirements to their complete satisfaction. Over the years, we have gained an intimate understanding of the IT milieu and the unique demands it makes on its people. Our venture into r...