6 - 11 years

4 - 8 Lacs

Posted:2 months ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Role & responsibilities: Handle and process insurance claims (Property, Casualty, Motor, Liability, or Employee Benefits) as assigned. Serve as the primary point of contact for clients, insurers, and third parties regarding claim status and inquiries. Perform claim intakes , document claim details, and validate policy coverage. Work independently (or with the AM / CSA) to manage and resolve queries from Clients and Claims adjusters / Reinsurers, seeking assistance as required ensuring escalation where necessary and resolution with minimum delay. Evaluate and negotiate settlements , ensuring fair and timely resolution. Maintain accurate and up-to-date claim records in the system. Prepare claim reports, summaries , and assist with trend analysis. Ensure compliance with regulatory standards , internal policies, and service level agreements (SLAs) . Escalate complex or fraudulent claims appropriately. Contribute to process improvements and client retention efforts. Preferred candidate profile: Minimum 5 years of experience in claims handling , insurance operations, or related fields (freshers with strong internships may be considered for junior roles). Understanding of insurance products and claims procedures . Excellent communication and customer service skills. Strong attention to detail, organizational, and time-management abilities. Proficiency with claims management software (e.g., Guidewire, Claim Center, or similar) and MS Office tools. Interested candidates can share their cv on below mentioned mail id: sonaly.sharma@crescendogroup.in References are highly appreciated.

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