Senior Associate - Claims

Department -Claims

Designation -Senior Associate

Purpose of the Job:

• About the Department: Claims (Claim Assessments) department conducts required assessments of the claims to determine its credibility. It includes conducting various assessments and performing quality checks on the processed data as per the regulatory norms in order to ensure efficiency of the departmental process.

• Purpose of the Role: As a Senior Associate, the role involves analyzing the data and ensuring the compliance of the process as per pre-defined TAT and Standard Operating Procedures (SOPs). It includes coordinating with stakeholders to ensure efficiency of the claim assessments.

Duties & Responsibilities:

1) Updating MIS as per predefined guidelines to ensure smooth flow of the departmental process.

2) Sharing the required data with concerned stakeholders to ensure implementation of departmental activities.

3) Ensuring process completion as per pre-defined TAT and Standard Operating Procedure (SOPs).

4) Handling communications with internal and external stakeholders as per the pre-defined guidelines.

5) Creating summary reports regarding verification of claims.

6) Managing cross functional departmental activities.

7) Maintaining and managing TPA data to ensure process completion.

8) Conducting quality checks and audit process to ensure regulatory norms are met.

Knowledge, Skills & Abilities:

• Academic Qualification: Graduate/Post Graduate

• Work Experience: 1 year experience in Insurance Industry.

• Awareness of Life-Asia System.

Required Skills:

• Interpersonal skills.

• MS Office (Excel, PowerPoint and etc.) • Stakeholder management.