11 Aug
|
Anand Rathi Insurance Brokers
|
Raigarh
11 Aug
Anand Rathi Insurance Brokers
Raigarh
Job Description Function Purpose
n To manage and administer reinsurance claims efficiently by ensuring timely notification, assessment, processing, recovery, and settlement of claims while maintaining compliance with contractual, regulatory, and service standards.
n Role Purpose
n The Claims Handling qualified is responsible for end-to-end management of claims, acting as the key liaison between insurers, reinsurers, brokers and management. The role ensures prompt resolution of claims, minimizes financial exposure, and delivers superior stakeholder service.
n Key Expectations of the Role
n n Handle the complete lifecycle of reinsurance claims from notification to closure.
n Review claim documentation and verify coverage, policy terms, and treaty conditions.
n Coordinate with insurers, reinsurers & brokers for claim processing.
n Monitor claim reserves, recoveries, and settlement timelines.
n Follow up on outstanding claims, recoveries, and documentation requirements.
n Prepare claim bordereaux, management reports, and claim status updates.
n Analyze claim trends and provide insights on loss experience and portfolio performance.
n Ensure compliance with policy wordings, treaty agreements, regulatory requirements, and internal processes.
n Support audits, reconciliations, and regulatory reporting related to claims.
n Maintain accurate claim records and documentation in claims management systems.
n Build and maintain strong relationships with c insurers, and reinsurers to ensure effective claims service.
n n Competencies Required for the Role
n n Experience & Expertise in handling Group Personel Accident claims
n Strong knowledge of reinsurance claims processes.
n Understanding of policy wordings, treaty structures, and coverage interpretation.
n Analytical and problem-solving skills.
n Strong negotiation and stakeholder management abilities.
n Excellent communication and relationship management skills.
n Attention to detail and documentation accuracy.
n Ability to manage multiple claims and meet deadlines.
n Knowledge of claims accounting, recoveries, and reserve management.
n Proficiency in Microsoft Excel, PowerPoint, and claims management systems.
n Understanding of regulatory and compliance requirements within the insurance industry.
n n Personal Qualifications
n Educational Background:
n n Graduate in Insurance, Commerce, Finance, Business Administration, or a related field.
n Professional qualifications such as III, AIII, FIII, CII, or equivalent insurance certifications preferred.
n n Experience:
n n 8-10 years of experience in reinsurance claims handling preferable in GPA claims.
n Hands-on experience managing Group personal accident, property, engineering, marine, casualty, or specialty claims.
n Experience in coordinating with insurers, reinsurers and broker for claim settlement and recovery processes.
n Exposure to large and complex claims would be an added advantage.
n n Confidentiality and Ethics:
n n Upholds high standards of confidentiality, ethics, and integrity in handling sensitive information and interactions.
n n Technology Proficiency:
n n Proficient in using office productivity software (Microsoft Office, Google Workspace) and calendar management tools
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📌 Claims Manager - Reinsurance (Raigarh)
🏢 Anand Rathi Insurance Brokers
📍 Raigarh