Authorization Executive

Job Description :

Authorised Verifier
Role Purpose
The Authorised Verifier is responsible for reviewing and validating customer and policy-related information, ensuring that all cases meet defined quality, compliance, and process requirements before moving to the next stage of processing. The role requires strong attention to detail, process adherence, and effective coordination with relevant stakeholders
Key Responsibilities
1. Verification & Validation

• Verify customer, proposal, documentation, and policy-related information as per defined process guidelines
• Validate information submitted
• Identify discrepancies, gaps, or exceptions and ensure timely resolution
• Conduct verification within defined TAT and quality benchmarks
• Ensure cases are processed only after meeting the required verification criteria

2. Quality & Compliance

• Ensure adherence to defined SOPs, regulatory requirements, and internal policies
• Maintain high accuracy and quality standards while processing cases
• Identify potential risks, inconsistencies, or fraudulent/misrepresented information and escalate as per the defined process
• Maintain proper documentation and audit trails for all verification activities
• Participate in quality audits and implement corrective actions for identified gaps

3. Coordination & Process Management

• Coordinate with Sales Teams for case resolution
• Follow up on pending information required to complete verification
• Ensure timely closure of cases within agreed SLAs
• Maintain trackers/MIS related to verification volumes, pending cases, TAT, quality, and exceptions
• Highlight recurring process issues and suggest opportunities for process improvement and automation

Key Performance Indicators (KPIs)

• Verification TAT / SLA adherence
• Verification accuracy
• Quality score
• Case rejection/error rate
• Pending case ageing
• Productivity / cases handled per day
• Compliance adherence
• Exception resolution TAT

Key Skills & Competencies

• Strong attention to detail and analytical ability
• Good understanding of processes and SOPs
• Ability to identify discrepancies and exceptions
• Strong follow-up and stakeholder management skills
• Good written and verbal communication
• Ability to work with high-volume transactions
• Proficiency in MS Excel and basic MIS reporting
• Strong sense of ownership and accountability

Qualification & Experience

• Graduate in any discipline
• Prior experience in insurance operations, Verification and policy processing, or a related operations role preferred
• Experience in handling high-volume transactions and working against defined TAT/SLA will be an advantage

Role Characteristics

• Function: Operations
• Role: Authorised Verifier
• Location: Bangalore
• Process : Voice