Executive - Claims

Location

Gurgaon | India

Job description

• To help resolve the queries of customers for life and Rider claims:

• Understanding the regulatory requirements regarding claims processing and settlement
• Checking documentation of claims
• Liaise with claim adjudicators and other departments for complete query resolution.
• Working on Claims System (UCHIT) , Ingenium and other applications of Max Life.
• Do groundwork for claims grievances & litigations

• Ensure that all claims are settled within specified regulatory guidelines and Max Life claims guarantee timelines.
• Ensure that customer satisfaction scores for claims are within acceptable range.

• Attend to inquiries and complaints regarding the processing and settlement of claims

Measure of Success:

• Accuracy, quality & solution of queries within stipulated time .
• Customer Transaction assessment scores
• Adherence to process, compliance benchmarks.
• Reviews with Supervisor and feedback claimants & distribution

OTHER RESPONSIBILITIES:

• Ensure acceptable audit & compliance ratings
• Contribute to creating a happy workplace
• Partake in claims support related activities.

• To help resolve the queries of customers for life and Rider claims:

• Understanding the regulatory requirements regarding claims processing and settlement
• Checking documentation of claims
• Liaise with claim adjudicators and other departments for complete query resolution.
• Working on Claims System (UCHIT) , Ingenium and other applications of Max Life.
• Do groundwork for claims grievances & litigations

• Ensure that all claims are settled within specified regulatory guidelines and Max Life claims guarantee timelines.
• Ensure that customer satisfaction scores for claims are within acceptable range.

• Attend to inquiries and complaints regarding the processing and settlement of claims

Measure of Success:

• Accuracy, quality & solution of queries within stipulated time .
• Customer Transaction assessment scores
• Adherence to process, compliance benchmarks.
• Reviews with Supervisor and feedback claimants & distribution

OTHER RESPONSIBILITIES:

• Ensure acceptable audit & compliance ratings
• Contribute to creating a happy workplace
• Partake in claims support related activities.

Job tags

Salary