Team Member - Bengaluru, Karnataka, India - bajajallianz

bajajallianz

Verified Company

Bengaluru, Karnataka, India

2 weeks ago

Posted by:

Deepika Kaur

beBee Recuiter

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 coinsurance 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

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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.

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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

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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:

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 8 years

Education/Qualification:

Engineering Graduate or Cost Accountant / Chartered Accountant ? Insurance qualification - Fellowship/CII/MBA in Insurance