2 - 5 years

1.0 - 3.0 Lacs P.A.

Pune

Posted:2 months ago| Platform: Naukri logo

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Skills Required

Insurance ClaimsTPAMACTClaims Processing

Work Mode

Work from Office

Job Type

Full Time

Job Description

Job Title: Manager - Legal Claims Role Overview: As a Manager - Legal Claims, you will be responsible for managing the life cycle of MACT (Motor Accident Claims Tribunal) and WC (Workmen's Compensation) claims from start to finish. You will ensure effective coordination with advocates, timely referrals of awards, and take all necessary actions to ensure prompt claim settlements and legal defenses. Key Responsibilities: Handle MACT and WC claims life cycle end to end, including claim review, timely referral of awards, compromise referrals, payment release, and coordination with advocates for settlements and defenses. Issue a clear line of action for claims and ensure all steps are taken to achieve favorable outcomes. Attend court hearings to lead evidences and take necessary steps to secure Exonerations for the organization. Travel for settlement discussions and advocate performance reviews, ensuring optimal claim resolutions. Review claims cases, categorize them into defense and compromise categories, and maintain appropriate reserves. Aim to settle cases promptly after thorough review and analysis to mitigate potential losses. Maintain and report monthly closure data for the assigned location, ensuring timely resolution and tracking of ongoing claims. Skills & Qualifications: Bachelors degree in Law (LLB); additional certifications in insurance law or related fields will be an advantage. Minimum of 5 years of experience in handling legal claims within the General Insurance industry, with strong expertise in MACT and WC claims. Thorough understanding of insurance regulations, claim processes, and legal proceedings. Proven experience in attending court hearings, leading evidence presentation, and coordinating settlements. Ability to travel for settlements and performance reviews as required. Strong analytical and negotiation skills, with the ability to categorize claims and make timely decisions. Proficiency in MS Office, with excellent reporting and communication skills.

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