Job Description

Function Purpose

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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.

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Role Purpose

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The Claims Handling professional 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.

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Key Expectations of the Role

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- Handle the complete lifecycle of reinsurance claims from notification to closure.

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- Review claim documentation and verify coverage, policy terms, and treaty conditions.

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- Coordinate with insurers, reinsurers & brokers for claim processing.

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- Monitor claim reserves, recoveries, and settlement timelines.

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- Follow up on outstanding claims, recoveries, and documentation requirements.

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- Prepare claim bordereaux, management reports, and claim status updates.

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- Analyze claim trends and provide insights on loss experience and portfolio performance.

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- Ensure compliance with policy wordings, treaty agreements, regulatory requirements, and internal processes.

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- Support audits, reconciliations, and regulatory reporting related to claims.

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- Maintain accurate claim records and documentation in claims management systems.

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- Build and maintain strong relationships with c insurers, and reinsurers to ensure effective claims service.

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Competencies Required for the Role

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- Experience & Expertise in handling Group Personel Accident claims

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- Strong knowledge of reinsurance claims processes.

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- Understanding of policy wordings, treaty structures, and coverage interpretation.

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- Analytical and problem-solving skills.

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- Robust negotiation and stakeholder management abilities.

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- Excellent communication and relationship management skills.

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- Attention to detail and documentation accuracy.

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- Ability to manage multiple claims and meet deadlines.

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- Knowledge of claims accounting, recoveries, and reserve management.

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- Proficiency in Microsoft Excel, Power Point, and claims management systems.

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- Understanding of regulatory and compliance requirements within the insurance industry.

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Personal Qualifications

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Educational Background:

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- Graduate in Insurance, Commerce, Finance, Business Administration, or a related field.

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- Professional qualifications such as III, AIII, FIII, CII, or equivalent insurance certifications preferred.

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Experience:

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- 8-10 years of experience in reinsurance claims handling preferable in GPA claims.

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- Hands-on experience managing Group personal accident, property, engineering, marine, casualty, or specialty claims.

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- Experience in coordinating with insurers, reinsurers and broker for claim settlement and recovery processes.

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- Exposure to large and complex claims would be an added advantage.

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Confidentiality and Ethics:

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- Upholds high standards of confidentiality, ethics, and integrity in handling sensitive information and interactions.

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Technology Proficiency:

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- Proficient in using office productivity software (Microsoft Office, Google Workspace) and calendar management tools

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📌 Claims Manager - Reinsurance (Mumbai)
🏢 Anand Rathi Insurance Brokers
📍 Mumbai