Insurance Claims Executive

Insurance Claims Executive

Department: Insurance Operations / Claims Management

Experience: 2–4 years

Number of Positions: 1

Employment Type: Full-time

Job Summary

We are seeking an experienced Insurance Claims Executive to manage customer-related and corporate insurance claims from registration through settlement and closure. The role requires strong claims documentation, insurer and broker coordination, follow-up, reporting, and process-improvement skills.

Key Responsibilities

• Manage the end-to-end claims lifecycle, including claim registration, documentation, submission, assessment, approval, settlement, reconciliation, and closure.
• Handle customer claims related to loan protection, health, job loss, and other applicable insurance products.
• Coordinate claims under corporate insurance policies, including Directors and Officers (D&O), cyber insurance, employee-related insurance, and other applicable covers.
• Review claim documents for completeness and coordinate with customers and internal teams to obtain missing information or clarifications.
• Liaise with insurers and brokers on pending, delayed, partially approved, or rejected claims and seek reconsideration wherever appropriate.
• Provide claim status updates to customers and internal stakeholders and escalate cases requiring intervention.
• Maintain a centralized claim tracker covering received, submitted, pending, approved, rejected, settled, and closed claims.
• Monitor claim ageing, turnaround times, outstanding documents, and settlement status.
• Coordinate with Finance and relevant teams to verify settlements and complete reconciliation and closure.
• Prepare periodic MIS reports on claim volumes, status, ageing, delays, rejections, and settlements.
• Develop and maintain claim SOPs, documentation checklists, escalation matrices, and process guidelines.
• Identify root causes of claim delays and rejections, recommend corrective actions, and maintain accurate records for internal reviews and audits.

Candidate Requirements

• Graduate in any discipline; qualifications in insurance, finance, commerce, or business administration are preferred.
• 2–4 years of experience in insurance claims management, insurance operations, corporate insurance servicing, or claims coordination.
• Strong understanding of policy wording, coverage, exclusions, claim documentation, assessment, and settlement procedures.
• Hands-on experience coordinating with insurers, brokers, customers, and internal stakeholders.
• Strong analytical, negotiation, follow-up, and problem-solving skills.
• Proficiency in MS Excel, claim tracking, documentation, and MIS reporting.
• Ability to manage multiple claims and prioritize cases based on urgency and ageing.
• Experience with health, loan protection, employee-related, D&O, cyber, or other corporate insurance claims is an advantage.

Key Competencies

• End-to-end claims coordination and management
• Insurance policy interpretation and documentation
• Stakeholder management and escalation handling
• Analytical thinking and issue resolution
• MIS reporting, reconciliation, and process improvement