About the job
Position: Assistant Manager - Claims
Reports To: Senior Manager - Claims
Department: Operations & Claims
Overview
The Assistant Manager - Claims plays a pivotal role in our claims processing operations, ensuring accurate assessment, adjudication, and evaluation of claims in accordance with policy terms and regulatory guidelines. You will collaborate with various teams to enhance our claims systems and contribute to customer satisfaction by effectively managing queries and fraud mitigation efforts.
Key Responsibilities:
- Evaluate and adjudicate individual death, rider, and group claims per policy terms and conditions.
- Collaborate with investigation agencies and reinsurers to ensure thorough claims processing.
- Identify and report emerging fraud trends to enhance mitigation strategies.
- Conduct system testing and ensure timely completion of related tasks.
- Create process documentation and prepare management information system (MIS) reports.
- Manage the claims helpdesk and address queries from customers, partners, and sales teams.
Key Internal Customers:
- Sales, Partner, Customer Service, Finance, IT, Legal & Compliance departments.
Qualifications:
- Graduate or Post-Graduate degree (preferably in Medicine or Paramedicine).
- Licentiate, Associate, or Fellow from the Insurance Institute of India.
Experience:
- A minimum of 3-4 years of experience in the Claims Department of a Life Insurance Company.
Skills and Competencies:
- Strong professional demeanor with a commitment to ethical standards.
- Able to thrive in a dynamic work environment.
- Excellent analytical and communication skills.
- Demonstrates energy and perseverance in achieving goals.