6 - 8 years

0 Lacs

Posted:2 weeks ago| Platform: SimplyHired logo

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Job Description

Job Title : Claims Adjuster

Experience : 6-8 Years

Location : Pune


Key Responsibilities:


  • Review code and assign claims to diaries as needed.
  • Act as a point of contact for field in investigation and examine and investigate details of claim.
  • Determine required reserves and place on claims in accordance with the delegation of authority.
  • Corresponds with claimant and witnesses, also consult with police, hospital records, and with other experts as part of the claim//'s investigation and settlement process.
  • Negotiates claims and settlement for claims with required approvals as required by the delegation of authority.
  • Submit claims to TPA per requirements including litigated claims and provide all required documentation to TPA and legal department.
  • Communicate any trends or opportunities for correction at field locations to supervisor or safety and loss prevention personnel.
  • Complete reports or other analysis as directed.
  • Engage with internal teams and external customers in alignment with the company//'s mission, values, and diversity principles.

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