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- Register and process Motor OD claims in the claims management system.
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- Verify policy coverage, claim eligibility, and claim documents.
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- Scrutinize survey reports, repair estimates, invoices, and supporting documents.
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- Coordinate with surveyors, garages, customers, and internal teams for claim resolution.
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- Process cashless and reimbursement claims within defined TAT.
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- Ensure compliance with IRDAI guidelines and company claim procedures.
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- Monitor pending claims and follow up for missing documents or reports.
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- Detect discrepancies, suspicious claims, and potential fraud indicators.
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- Update claim status and maintain accurate records in the claims system.
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- Ensure quality and accuracy of claim approvals and settlements.
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- Handle customer and dealer queries related to claim processing.
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- Prepare MIS reports and support claim audits.
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Required Qualifications
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- Graduate from B.Tech (Automobile/Mechanical preferred)
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- 1-5 years of experience in Motor OD Claims (Back Office preferred).
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- Knowledge of motor insurance policies and claim procedures.
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- Positive understanding of repair estimates, survey reports, and claim documentation.
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Key Skills
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- Motor OD Claims Processing
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- Policy Interpretation
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- Claims Investigation
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- Documentation & Verification
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- Analytical Skills
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- MS Excel and Computer Proficiency
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- Communication & Coordination
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- Time Management
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- Attention to Detail
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- Customer Service Orientation
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