Job of Operation Lead -Claims Exide Life – Bengaluru, Karnataka

Job of Operation Lead -Claims Exide Life - Bengaluru, Karnataka

 

Eligibility

  • 3+ Years of experience in Life Insurance preferably from Claims background.
  • Graduate with Computer Proficiency with Insurance background

Skill Set

  • Meet the TAT stipulated by the regulator
  • To assess the claim and come up with a recommendation based on the given facts.
  • System enhancements and test result validations
  • Preparation of MIS

Job Description

  • Providing requirements for system related enhancements
  • Scrutiny of Claim Eligibility, assessments.
  • Follow up on claim Documents / Investigation Reports
  • Checking the correctness of claim amount calculations vis a vis product benefits
  • Timely Processing Claims in line with company TAT’s and KPI’s for settlement / repudiation
  • Maintaining Claims statistics and analysis in respect to Claims intimated, settled, pending and pending for investigation. Preparing MIS Reports.
  • Preparation of Repudiation note for approval. Repudiation letter draft sent to legal for approval.
  • Claim Record Maintenance (hard copy and scanned soft copy) as per guidelines
  • Identify problems if any in Life 400 and complete necessary form for intimation to IT. Discuss enhancements if any with seniors. Coordination with MOT
  • Investigator Empanelment and Review
  • New Initiatives to improve claim processing
  • Claims investigations and fraud identification.

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