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Founder at Serving Skill
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Process Manager - Claims - Life Insurance (2-6 yrs)
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
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