Claim Executive

Role Overview: As an Insurance Claims Executive, your primary responsibility will be to oversee claims processing from initiation to settlement to ensure efficient handling and compliance with regulations. You will play a crucial role in coordinating with underwriting and other teams, managing client relationships, resolving issues, implementing process improvements, and verifying claims documentation. Your strong understanding of claims policies, attention to detail for fraud prevention, and effective communication with customers and intermediaries will be essential for success in this role. Key Responsibility: - Claims processing: Manage the end-to-end claims cycle, including assessment, validation, calculation of benefits, and settlement. - Operational oversight: Oversee daily operations to ensure efficient processing of policies and claims, while coordinating with other departments like underwriting. - Customer and stakeholder management: Engage with customers and intermediaries to resolve queries and complaints, providing excellent service. - Documentation and compliance: Ensure all claims documentation is accurate and complete, adhering to all legal, regulatory, and company policies. - Process improvement: Analyze and implement process improvements to enhance service efficiency and quality. - Fraud prevention: Investigate potentially fraudulent claims and analyze information to identify inconsistencies. - Reporting: Prepare and present reports related to claims operations and financial data. Qualification Required: - Technical skills: Proficiency in insurance software, MS Office, and data management. - Soft skills: Strong analytical and problem-solving skills, excellent communication and interpersonal skills, attention to detail, and the ability to work under pressure. Please note that the job type for this role is full-time and the work location is in person.,