Title Complaints & Escalated Claims Specialist

As a Complaints & Escalated Claims Specialist at Assurant-India, you will report to the Outsource Vendor Manager, CL and serve as the primary point of contact for complaints and escalated claim inquiries. Your responsibilities will include resolving formal complaints, tracking escalation data for operational and reporting purposes, proposing settlement agreements, and overseeing the company's Complaints Claims Assessment system and processes. This role will be based in our Mumbai, India office. Your duties and responsibilities in this position will involve overseeing the Complaints Claims Assessment system and processes, managing multiple issues simultaneously, independently assessing and reviewing claims and complaints based on terms and conditions, conducting reviews on high-value claims, escalating serious or urgent cases to the MD, identifying process improvement opportunities, communicating with medical advisors on complex cases, ensuring compliance with Service Level Agreements and regulatory timelines, logging and tracking each issue in multiple systems for reporting purposes, and maintaining high levels of complaint-handling skills in accordance with service level agreements, contracts, and policy conditions. To be successful in this role, you should have at least 7 years of experience in composing responses to external contacts, experience in claim handling and complaint resolution, work experience in the insurance industry, and a background in customer-focused roles.,