In this role person is expected to manage home and PCG claims portfolio from intimation till settlement, system development, Audit / process improvement, claim approval, grievance redressal etc.
ROLE AND RESPONSIBILITIES
- Management of claims Registration to settlement of claims in a judicious way and as per policy terms
- Review of claims recommended by team and approve claims falling within financial authority
- Coordinate with surveyors, subject matter experts, investigators, audit team etc.
- Empanel surveyors and other vendors as required in management of claims
- To ensure adherence to all predefined processes and TATs for claims processing and comply with IRDAI regulations
- Close interaction with policyholders, brokers, surveyors, etc.
- To prepare MIS for management
- Liaise with various internal and external stake holders for process design, process streamline, system development etc.
- Review and audit closed files.
- Risk inspection for current proposals under Private Client Group & Home Claims.
- Any other task as assigned by Reporting Manager
- Meeting with Client, handling their grievances.
- Regular review of existing claim process / system and suggest process improvement.
- Co-ordinate with IT team for necessary system development and resolve any IT issue faced by team
EDUCATION & EXPERIENCE REQUIREMENTS
Post graduate with min. 5-year experience in Insurance background.
MBA in Insurance / Insurance qualification from recognized institute equivalent to AIII.
PREFFERED SKILLS
- Prior experience in commercial claims handling claims of Fire, theft, breakdown and Misc. LOB
- Familiarity with claim process and policy wordings
- Problem solving skills,
- MS office
📌 Chief Manager - Private Client Group (Goregaon)
🏢 TATA AIG General Insurance Company
📍 Goregaon
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