Motor Claims Specialist

Client Advocacy & Claims Management

• End-to-End Processing: Oversee the registration, documentation, and tracking of all claims.
• Technical Evaluation: Analyze policy wordings, terms, and exclusions to accurately advise clients on coverage viability.
• High-Value Escalations: Personally manage complex, high-value, or commercial fleet accidental claims, ensuring rapid resolution

Insurer & Surveyor Liaison

• Surveyor Coordination: Coordinate with independent surveyors, workshop managers, and insurance company assessors to ensure fair loss assessment.
• TAT Reduction: Work with insurers to maintain strict Turnaround Times (TAT) for cashless approvals, spot surveys, and final disbursements
• Dispute Resolution: Negotiate and resolve deductions or claim repudiations by presenting technical representations to insurers.

Operations & Strategy

• MIS & Reporting: Maintain detailed daily, weekly, and monthly MIS reports on claim ratios, settlement statuses, and outstanding claims for corporate clients.
• Grievance Redressal: Manage escalations through internal mechanisms and handle queries up to the Insurance Ombudsman level if required.
• Team Leadership: Guide and mentor junior claims executives to improve technical assessment skills and client handling

Network Expansion & SLA Management

• Preferred Workshop Network: Strategically identify, tie up with, and build a robust network of preferred garages and workshops across key geographies to offer seamless claims experience to OneCircle customers.
• SLA Formulation & Implementation: Draft and enforce strict Service Level Agreements (SLAs) with partner workshops covering critical metrics like vehicle pickup time, estimation turnaround, repair quality, and delivery timelines.

Performance Monitoring: Conduct regular audits and performance reviews of network workshops to ensure adherence to defined customer-satisfaction SLAs and control repair costs.