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Assistant Manager Claims

Mumbai, MH
Job Code:
500,000 To 700,000 Monthly
  • Insurance
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Job Details

Dear Candidate,Greetings from IndiaFirst Life Insurance..!! We are presently hiring for Assistant Manager - Claims, JD is as follows Handling end to end process of Individual Claims, Group Claims, Social Claims, Rural Claims, Reconsideration Claims, Litigation Claims, Rider Claims from intimation to settlement as per the guidelines issued by Insurance Regulatory and Development Authority of India (IRDA).Ensuring end to end TAT from Claim intimation and from last requirement receipt to payout dates for all the Death claims.Liaison with Branch Offices, Investigators, Hospitals, Doctors, Competitor Insurance Companies, & Various Internal Departments for issues related to claim processing and claim settlement.Dealing with third party vendors on daily basis for external investigation, verification, claim assistance and document pick up services and also empanelling third party vendor on board.Claims Reconsideration Cases (CRC) Prepare the claims reconsideration case studies and present to CRC/Appeals committee members.Handling representation cases received from the Insurance Ombudsman, Consumer Forum, Court of Law, etc. & Unconcluded Contract Claims.Compliance and execution of legal orders.Handling vendor management profile i.e. giving feedback to investigators and vendor analysis.Identifying Gaps in Claims process and Claims System and provide solution/approach.Handling System development related activity i.e BRD drafting, Understanding Test Scenarios, Conducting UAT etc.KEY PERFORMANCE INDICATORSSystem (Life, Group Asia, Claims Management System) understandingServicing and settlement of Death Claim payoutsExcellent skills in MS Excel, MS AccessNew InitiativesProductivity parametersCost reduction PREFERRED CREDENTIALS WORK EXPERIENCE5 + years of experience in Death Claims with experience in MIS & Excel. QUALIFICATIONSGraduate / DoctorCOMPETENCIESResult OrientationCustomer OrientationInterpersonal and Communication SkillsEnergy, Drive and InitiativeCost and Quality ConcisenessAbility to work under pressureWillingness to learn and share knowledge with colleaguesAbility to shoulder higher responsibilities with effective leadership, team spirit and team management.
Additional Degree: BA (Arts) | B.Com. (Commerce) | B.Pharm. (Pharmacy) | B.Plan. (Planning) | B.Sc. (Science) | BBA/ BBM/ BBS | BCA (Computer Application) | Diploma-Other Diploma | B.Ed. (Education) | BHM (Hotel Management)

Experience: 7-10


Claims/Collection Mgmt
Applying for this job will take you to an external site


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