Senior Manager/Assistant Vice President - Claims - Commercial lines

10 - 14 years

0 Lacs

Posted:1 day ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

The purpose of the Claims Role is to effectively manage the claims process for clients, ensuring a smooth and fair settlement of claims. Your responsibilities will include reviewing and validating claims, liaising with insurers, advocating for clients" interests, and guiding them through the claims process to achieve a satisfactory outcome. You will be expected to accurately review and process claims in adherence to established protocols and guidelines. Furthermore, you will ensure that all necessary documentation is collected and maintained for each claim, including client statements, accident reports, and relevant records. As the main point of contact for clients during the claims process, you will provide timely updates and information, advocate for clients" interests and rights, and ensure a fair and just settlement of claims. Additionally, you will engage in substantiating the claim to the insurers to secure optimal claim settlements for clients, considering policy terms, legal requirements, and clients" expectations. In addressing client concerns, disputes, and inquiries related to claims, you will demonstrate professionalism and timely responses. Conflict resolution and maintaining positive client relationships throughout the claims process will be crucial aspects of the role. To excel in this role, you should possess a strong understanding of insurance policies, coverages, and claims processing. Familiarity with insurance regulations, industry standards, and claims-related legal aspects is necessary. Clear and effective communication skills, both written and verbal, will be essential to convey complex information to clients and internal stakeholders. Your interpersonal skills will be key in managing client interactions with empathy and professionalism. Your analytical skills will be utilized to assess claim details, policy information, and relevant documents to make informed decisions. Identifying potential challenges and developing effective solutions to ensure smooth claims processing will be part of your responsibilities. Effective negotiation skills will also be required to achieve optimal claim settlements for clients and persuasively present clients" cases and arguments to insurers. A bachelor's degree in business, insurance, finance, or a related field is preferred for this role. Prior 10 years of work experience in claims processing, claims handling, or related roles within the insurance industry is advantageous. Relevant certifications in claims management or insurance claims will be beneficial. Proficiency in using claims management systems, CRM software, and the Microsoft Office suite (Word, Excel, Outlook, etc.) is required for this position.,

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