Job Description |
Position Title, Responsibility Level Advisor - Home Claims | Function Operations, Executive | Reports to Assistant Manager - Operations |
Permanent/ Temporary Permanent | Span of Control NA | Location Noida - SEZ |
Basic Function To provide timely and effective response to insurance claims, ensuring that the claim is processed accurately and all investigations are carried out to validate activities being undertaken. The associate will receive information through various excel sheets and client workflow system for which payments need to be processed. |
Essential Functions - To action supplier reports, updating our claims system with financial reserves and amending the diary working from a set matrix.
- Action supplier diary cases where a chase up by telephone is generally required to progress the claim. System updates being made as appropriate from the updated information obtained.
- Manage and make payments to certain Group suppliers by way of a defined payment procedure. This task involves updating systems and spreadsheets and working to tight deadlines.
- Meet all requirements laid down by both regulatory bodies and internal procedures, to include payments handled with FSA timescales and guidelines.
- Executive will need to work as efficiently and effectively as possible to minimize the turnaround time in processing claims whilst maintaining control of claims cost.
- Executives are required to achieve Key Performance Indicators as set out by the business.
- At all times, executives will be aware of the commitment to service and the application of the Company's core values and beliefs.
- Operate and maintain customer related information systems to the required standards, to maintain accurate records and access information to enable work to be progressed
- Executives must comply with the Data Protection Act and Client Security Policy and Procedures.
Any other essential function that may occur from time to time as directed by the Supervisor |
Primary Internal Interactions - LAM or AM for the purpose of reporting performance, escalation handling, clarifying concerns, and seeking feedback and support.
- Team Members for the purpose of seeking cooperation & clarification on process-related matters & providing assistance and support when required.
- EXL Trainers and SMEs for escalations and resolution on unresolved transaction, refresher trainings, competencies and soft skill trainings.
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Primary External Interactions - SME / Trainers at the client end for training
- Exception/ escalation teams at the client end for the purpose of seeking clarifications & answering queries
- Outbound calls to - Third party Insurers to verify information related to claim, group suppliers chasing them for information required to progress the claim
- Liaise with the onshore technical experts where required, in order to facilitate the settlement of the claim.
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