28 Oct
|
Chinmay Finlease
|
Ahmedabad
28 Oct
Chinmay Finlease
Ahmedabad
Insurance Claims Executive
Department: Insurance Operations / Claims Management
Experience: 2–4 years
Number of Positions: 1
Employment Type: Full-time
Job Summary
We are seeking an experienced Insurance Claims Executive to manage customer-related and corporate insurance claims from registration through settlement and closure. The role requires strong claims documentation, insurer and broker coordination, follow-up, reporting, and process-improvement skills.
Key Responsibilities
- Manage the end-to-end claims lifecycle, including claim registration, documentation, submission, assessment, approval, settlement, reconciliation, and closure.
- Handle customer claims related to loan protection, health, job loss, and other applicable insurance products.
- Coordinate claims under corporate insurance policies, including Directors and Officers (D&O;), cyber insurance, employee-related insurance, and other applicable covers.
- Review claim documents for completeness and coordinate with customers and internal teams to obtain missing information or clarifications.
- Liaise with insurers and brokers on pending, delayed, partially approved, or rejected claims and seek reconsideration wherever appropriate.
- Provide claim status updates to customers and internal stakeholders and escalate cases requiring intervention.
- Maintain a centralized claim tracker covering received, submitted, pending, approved, rejected, settled, and closed claims.
- Monitor claim ageing, turnaround times, outstanding documents, and settlement status.
- Coordinate with Finance and relevant teams to verify settlements and complete reconciliation and closure.
- Prepare periodic MIS reports on claim volumes, status, ageing, delays, rejections, and settlements.
- Develop and maintain claim SOPs, documentation checklists, escalation matrices, and process guidelines.
- Identify root causes of claim delays and rejections, recommend corrective actions, and maintain accurate records for internal reviews and audits.
Candidate Requirements
- Graduate in any discipline; qualifications in insurance, finance, commerce, or business administration are preferred.
- 2–4 years of experience in insurance claims management, insurance operations, corporate insurance servicing, or claims coordination.
- Strong understanding of policy wording, coverage, exclusions, claim documentation, assessment, and settlement procedures.
- Hands-on experience coordinating with insurers, brokers, customers, and internal stakeholders.
- Solid analytical, negotiation, follow-up, and problem-solving skills.
- Proficiency in MS Excel, claim tracking, documentation, and MIS reporting.
- Ability to manage multiple claims and prioritize cases based on urgency and ageing.
- Experience with health, loan protection, employee-related, D&O;, cyber, or other corporate insurance claims is an advantage.
Key Competencies
- End-to-end claims coordination and management
- Insurance policy interpretation and documentation
- Stakeholder management and escalation handling
- Analytical thinking and issue resolution
- MIS reporting, reconciliation, and process improvement
📌 Insurance Claims Executive (Ahmedabad)
🏢 Chinmay Finlease
📍 Ahmedabad