Specialist - Claims Service

3 - 8 years

3 - 7 Lacs

Posted:21 hours ago| Platform: Naukri logo

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Work Mode

Work from Office

Job Type

Full Time

Job Description

Mercer is seeking candidates to join our Claims Service team based in the Pune/Mumbai office. This is a hybrid role that requires working in the office at least three days a week.

Specialist Claims Service (Grade C1)

What can you expect:

  • Excellent exposure to complex & diverse claims handling.
  • Opportunity to enhance Claims knowledge and understanding & build on client management skills.
  • As a new colleague, you will be provided with Business Overview/Insights, in-depth process training, roles & responsibilities overview, expectations of various stakeholders to make you successful in this role.
  • Within the first 30 days, we expect you to gain good understanding of the role and requirement that it entails. Within 60 days, attain competency & have a good understanding of process and systems & finally within 90 days be able to handle the claim processing with limited support

We will count on you to:

  • Client Service Management:
  • Processing and Submission of First Notice of Loss to the Carriers. Monitoring and filing responses from Carriers and following up as necessary
  • Liaison with Carriers & Internal Stakeholders
  • Liaise with Advocacy team to resolve all queries in order to send out the FNOL within stipulated timelines
  • Provide ideas and suggestions for improving working methods taking into account client and member experience, where appropriate implement and document to line manager for adoption across the business.
  • Compliance, Regulatory and Procedural Responsibilities
  • Ensure that all statutory regulations and company procedures are followed to protect clients, colleagues and the business interest of the company
  • Appropriate usage of Marsh Speciality's systems to monitor, record and retain information
  • Demonstrate clear understanding of regulatory requirements
  • Proactively ensures compliance with regulatory and risks framework
  • Adheres to policies, guidelines and operating procedures
  • Keeps own knowledge and expertise up to date and relevant
  • Identifies and evaluates risks appropriately. Recognises how own actions impact on compliance

What you need to have:

  • 3+ years of work experience
  • Graduate in any stream
  • Fair understanding of Insurance Broking business and dynamics
  • Good command over spoken and written English
  • Superior comprehension and articulation skills
  • Ability to prioritise and organise tasks, work within stiff timelines
  • Eye for detail and innovative mindset

What makes you stand out:

  • CII certification
  • Post-Graduation/Certificate Courses in Insurance
  • Experience on handling Insurance claims

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Mercer

Consulting

New York

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