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Everest Fleet
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Claim Processing Executive

Claim Processing Executive

Everest Fleet

2 - 3 years

3 - 4 Lacs

kolkata

Posted:None| Platform:

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Skills Required

claims insurance claims vendor coordination claim settlement vehicle insurance claims management motor insurance claims processing

Work Mode

Work from Office

Job Type

Full Time

Job Description

The Insurance Advisor Executive is responsible for reviewing, verifying, and processing insurance claims in a timely and accurate manner. The role ensures that all claim settlements comply with company policies, contractual terms, and regulatory guidelines while delivering excellent customer service.

Key Responsibilities

Claims Processing & Verification

Review and validate claim documents, forms, and supporting evidence.
Ensure compliance with policy terms, conditions, and coverage limits.

Investigate discrepancies and request additional documentation if required.

Settlement & Approval

Calculate claim amounts and process settlements accurately.
Coordinate with underwriters, surveyors, and other stakeholders to finalize claims.
Approve or escalate claims as per authority limits.

Customer Communication

Respond to claimants regarding claim status and queries.
Explain settlement decisions clearly and professionally.
Maintain high customer satisfaction through transparent communication.

Documentation & Reporting

Maintain accurate claim records in the system.
Prepare claim reports for management review.
Ensure timely closure of claims within service-level agreements (SLAs).

Compliance & Quality Control

Adhere to IRDAI and other regulatory requirements.
Follow internal audit and quality guidelines.
Assist in process improvement initiatives for faster and more efficient settlements.

Qualifications & Skills

Education:
Graduate in any discipline (preferably Commerce, Finance, or Insurance-related).
Experience:
13 years in claims processing/settlement (insurance, healthcare, or related field).
Skills:
1. Strong analytical and numerical ability. 2. Attention to detail and accuracy. 3. Good communication and interpersonal skills. 4. Familiarity with claims management software.

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