Job Description

Claims operations On monthly basis, monitor key performance parameters such as - Claims settlement TAT Claim Settlement Ratio Efficiency ratio, etc.; Track deviations against set targets and identify reasons for deviations Closely monitor and control the high ageing open claims, including co-insurance claims Review the reserve revisions for Non Motor claims in the zone Enter into a discussion and negotiation with the surveyor and the client in order to obtain his consent and release payment accordingly To keep liaison with other departments Co-ordinate with Surveyor/Investigator Recommend head office to empanel service provider, after taking market feedback. Appoint appropriate surveyor and other service providers to carry out survey and assessment of loss, of reported claims . Monitor claims assessment and inspection conducted by surveyors in alignment with BAGIC s claims guidelines Maintain effective professional relationship with all the service providers including surveyors. Claims Review and Approval Study the claim related files such as brief, mandatory documents, survey reports and team leader/member recommendations for approval/advice Review and approval of claims upto DOA for all Non Motor LOBs Review and approve the repudiation cases upto DOA Recommend claims above DOA to the superior/NHOD for approval/repudiation Team development Establish individual performance expectations for team members and regularly review their performance in discussions with superior/NHOD Conducting the need based training program for the development of the team members on all product and processes Mandatory Skills: Experience of non-motor claims in insurance industry . Past experience of corporate surveyor company Desirable Skills: 1.Good communication skills. 2.Flexible adaptable to change. 3.Well versed with MS Office. 4.Should have good analytical and problem-solving skills. 5.Should be aware of the Local language. Years Of Experience: 6 to 10 years Education/Qualification: Engineering Graduate or Cost Accountant / Chartered Accountant Insurance qualification - Fellowship/CII/MBA in Insurance