Tata AIA Life Insurance Company Ltd
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AM - Claims - Tata AIA (5-6 yrs)
Company Name- TATA AIA LIFE
Position Title- Asst Manager – Claims (Litigation, Representations etc
Location - Head Office - Mumbai
Department- Claims
Qualification- Graduate/ MBA, Technical Qualification (III, LOMA etc)
Experience- 5 years
Mandatory requirement- Exp in insurance sector+ Legal background
Role Summary:
1.Responsible for management of all claim cases in Ombudsman offices, Consumer Forums and other courts
2.Responsible for all management of Claim related complaints or representations received through IRDA or TALIC offices including presenting cases to CRCM.
Stakeholders:
Internal - Assessment Team, underwriting team, Zonal Team, MIS,IT,POS, CS, Legal & Compliance
External-IRDA, Ombudsman Offices, External legal consultant, Claim investigators
Key Result Areas:
Handling Litigation cases:
- End to end handling of all Ombudsman and Litigation (consumer forums/ court) cases for Claims department
- Compliance of awards
- Assessment of notices received from Consumer forums and courts
- Liaise with and provide required inputs to Legal team to prepare SCN / WS / appeal memo for Ombudsman / Consumer Forum cases
- Maintain records of all litigation / Ombudsman cases and share learnings with the team members.
IRDA complaints
- Review case and submit reply in time.
- Ensure compliance to actionables.
Claim Representations
- Provide details of all representation cases to the Complaints team
- Present cases to the CRCM
- Ensure compliance of all actionables
Skills Required:
Technical:
- Claims Processing.
- Sound knowledge of product contracts.
- Knowledge of medical terminologies.
- Legal Updates.
- Industry practice.
- Regulatory guidelines.
- Presentation skills.
This position is open till 31st July 2012.
Interested and suitable candidates with experience in insurance sector can apply to shreeja.singh@tataaia.com.
You are required to send your updated resume mentioning the following details:
Current location -
Current Company -
Current ctc -
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Notice Period-
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