Claims Adjuster

Position Summary

We are hiring an Analyst for the Claims process, to ensure the quality and effectiveness of business, products, and services within the India business. The reinsurance placement & claims tasks process transactions for end-to-end client servicing of accounts as per IRDAI guidelines. This role requires a comprehensive understanding of the policy life cycle and the various actions required for New Business/Renewals, Mid-Term Adjustments, claims cycle, and its collection.

Primary Responsibilities – Claims

• Identifying and booking claims: Our team identifies valid claims as per the slip, books them in the system, and ensures all claim details are accurately documented.
• Generating closings: We generate closing statements to facilitate the settlement of claims.
• Coordinate closely with cedents and underwriters to ensure smooth processing of all transactions, maintaining clear communication and addressing issues promptly.

Additional Responsibilities

• Coordinate closely with cedents and underwriters to ensure smooth processing of all transactions, maintaining clear communication and addressing issues promptly.
• Ability to think critically and make sound judgments based on the evidence presented.
• Understanding of best practices in business processes and quality assurance.
• Ability to work independently and as part of a team to achieve quality and compliance objectives.
• Commitment to maintaining confidentiality and handling sensitive information appropriately.
• Willingness to continuously learn and develop new skills to enhance audit effectiveness.

Skills and Competencies

• Technical proficiency and understanding of insurance service
• Excellent written and oral communication skills
• Strong interpersonal skills
• High degree of ownership and accountability
• Deep insurance domain knowledge

Minimum Qualifications

Education

• Major: Any Graduate or Postgraduate with any specialization
• Degree: Bachelor's / Master's

Licenses/Certificates

• Insurance certification will be an additional advantage

Work Experience

• Minimum 2–3+ years of experience in Quality Analysis within the insurance domain