Job Description

Dear Candidate,

We are seeking a highly organized and detail-oriented Non Health claims Executive to facilitate the smooth processing of insurance claims for our clients. As a Claims Executive, you will be responsible for assisting insured individuals in filing and managing their claims, ensuring adherence to policy terms and conditions, and coordinating with surveyors and insurers throughout the claims process. Your role will involve effective communication, documentation management, and follow-up to ensure timely claim resolution and payment.

Responsibilities:

• Understand and assess the details provided by the insured when intimating a claim.
• Verify whether the claim falls within the coverage of the policy.
• Present the claim information accurately and comprehensively in the appropriate format.
• Initiate the claim intimation process to the insurer and obtain a claim reference number:
• Utilize the online portal to submit the claim (if applicable).
• Send claim intimation via email when online submission is not available.
• Gain a clear understanding of the purpose behind each document requested by the surveyor during the claim assessment.
• Familiarize yourself with the required documentation for the claim process.
• Assist the insured in preparing necessary documents as per the specific requirements of the claim.
• Follow up with the insured to ensure timely submission of all required claim documents.
• Coordinate with the surveyor to schedule the survey and keep the insured informed.
• Facilitate effective communication and coordination between the surveyor and the insured during the survey process.
• Regularly follow up with the insurer for the progress of claim assessment.
• Review and re-evaluate the assessment shared by the surveyor to ensure accuracy and completeness.
• Engage in frequent communication with the insurer to expedite the payment under the filed claim.
• Maintain accurate records and documentation of all claim-related interactions and progress.

Requirements:

• Bachelor's degree in a relevant field (e.g., insurance, business administration) or equivalent experience.
• Prior experience in insurance claims processing or a similar role is preferred.
• Strong understanding of insurance policies, terms, and conditions.
• Excellent organizational skills with meticulous attention to detail.
• Effective communication and interpersonal skills to liaise with insured individuals, surveyors, and insurers.
• Ability to handle multiple tasks simultaneously and prioritize work efficiently.
• Proficient in using online portals and email for claim intimation.
• Familiarity with common claim documentation and processes.
• Strong problem-solving and decision-making abilities.
• Ability to work independently and collaboratively within a team.
• Knowledge of insurance claim software and tools is a plus.

Job Types: Full-time, Permanent

Pay: ?20,000.00 - ?30,000.00 per month

Benefits:

• Health insurance
• Provident Fund

Schedule:

• Day shift

Supplemental pay types:

• Performance bonus
• Yearly bonus

Ability to commute/relocate:

• New Delhi, Delhi: Reliably commute or planning to relocate before starting work (Required)