Analyst, Claims
AXA XL
Bengaluru East, Karnataka, India3h agovia LinkedIn
About the Role
As a Claims Analyst, you will perform various functions that primarily involve analyzing, advising, and managing claims for various lines of businesses. Your job emphasis is on reviewing claims filled by policyholders for completeness and accuracy, as well as establishing that the damages are covered by their policies. It also entails maintaining updated records and preparing required documentation.
Key Responsibilities
- Ensure eligibility for claims is reasonable and correct by analyzing claims and supporting documentation.
- Adjudicate claims activities like setting up new claims, making payments, refunds, updating reserves, adding vendor details etc. in Legacy as well as new environment called Global Claim System (GCS).
- Collect accurate information and documents to proceed with a claim.
- Liaise with Claim handlers onshore, brokers and underwriters.
- Manage all administration aspects of the claim.
- Adhere to legal requirements, industry regulations and customer quality standards set by the company.
- Ensure good customer service for the client.
- Report to Assistant Manager, Claims.
Requirements & Tech Stack
- Working knowledge of computers and computer programs such as Excel, Outlook, Power Point, and Word.
- Adherence to legal requirements, industry regulations, and customer quality standards.
Qualifications
- Graduate/ MBA in insurance.
- PG Diploma in General Insurance.
- Advanced Diploma in Insurance.
- CERT CII.
- Ability to use initiative and work in a team.
- Ability to work calmly under pressure.
- Technical knowledge of the insurance industry is an added advantage.
- Attention to detail to ensure all conditions of a claim are met for processing and validation.
- Excellent interpersonal and customer service skills.
- Communication skills and composure when dealing with people, often in difficult circumstances.
- An analytical mind, active listening skills, and ability to hit deadlines.