Job Description

Roles & Responsibilities:

• To oversee the claims processing lifecycle from initiation of a claim through to settlement.

• This role is tasked with providing Claim settlement focused on efficiency, accuracy, and customer satisfaction.

• Responsible for building a strong and robust team as well as implement processes around claims servicing.

• Structured Team reviews & publishing of process monitoring dashboards on a regular basis to ensure that SOP is adhered to and promptly escalated exceptions on process compliance as appropriate.

• Stay up to date on industry regulations and compliance requirements, ensuring adherence to legal and regulatory standards.

• Thorough on the compliance and regulatory requirements and implementation in the claims process.

• Ensure claims of valid settlements are made according to the company practice and procedures.

• Examine claim forms and records to determine the coverage in the insurance policy statements.

• Collaborate with Underwriting, Actuarial, Finance and other stakeholders to ensure knowledge sharing on market trends, legal changes, and loss developments.

• Building a new age claim management system along with tech department

• Set up and create robust governance to manage claim assessment and settlement process.

RequirementsRequired Skills:

• Must have 12-14 years experience of Insurance claims management.

• Minimum 2-3 years experience in lead role.

• Need experience of setting up a team from scratch (Preferred but not mandatory)

• Should Have excellent verbal and written communication skills.

Educational Qualification:MBA/CA/Agri Graduate/preferably agricultural related graduate degree.

Kshema