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237 Axis Max Life Insurance Jobs
Assistant Manager - Claims
4-6 years
Gurgaon / Gurugram
1 vacancy
Assistant Manager - Claims
Axis Max Life Insurance
posted 4hr ago
Job Role Insights
Flexible timing
Key skills for the job
Job Description
- Adjudication of Life, Group & Health claims related grievance and litigations.
- Handling and ensuring compliant Post death benefit process
- Develop efficient and sustainable operations support processes for Max Life claims.
- Identifying customer preferences and working towards meeting/ exceeding customer satisfaction.
- Assessment of life, group & health claims related grievance and litigations
- Understanding the regulatory requirements regarding claims.
- Checking documentation of claims cases and preparing claims case summaries.
- Liaise with Legal, CMO, vendors, Doctors, hospitals, police authorities, GO, field operations, agents, other departments for claim re-adjudication
- Working on claims management system (Uchit) and other applications of Max Life.
- Post Death Benefit claims
- Assess Post Death Benefit claims
- Ensure timely settlement of all post death benefit claims
- Ensure that all litigations are settled within specified regulatory guidelines and Max Life claims guarantee timelines with acceptable levels of accuracy.
- Ensure that customer satisfaction scores for claims are within acceptable range.
- Reporting of regulatory submissions related to the patch.
- Review and approve payments and repudiations of claims within his/her specified authority limit.
- Partake in claims production and support related activities
MEASURES OF SUCCESS
- Accuracy, Quality, Productivity and Timeliness of processing and Approvals
- Claims Audit Ratings , compliance benchmarks and adherence to process.
- Customer Transaction assessment scores
MINIMUM EDUCATION & EXPERIENCE-
- Graduate/Post Graduate with 4 to 6 years of experience in Insurance / Risk / Operations preferably in Claims management and processing
- Should be well versed with MS office.
- Added qualifications from Insurance Institute of India, LOMA, ICA etc will be preferred.
JOB SUMMARY
- Adjudication of Life, Group & Health claims related grievance and litigations.
- Handling and ensuring compliant Post death benefit process
- Develop efficient and sustainable operations support processes for Max Life claims.
- Identifying customer preferences and working towards meeting/ exceeding customer satisfaction.
- Assessment of life, group & health claims related grievance and litigations
- Understanding the regulatory requirements regarding claims.
- Checking documentation of claims cases and preparing claims case summaries.
- Liaise with Legal, CMO, vendors, Doctors, hospitals, police authorities, GO, field operations, agents, other departments for claim re-adjudication
- Working on claims management system (Uchit) and other applications of Max Life.
- Post Death Benefit claims
- Assess Post Death Benefit claims
- Ensure timely settlement of all post death benefit claims
- Ensure that all litigations are settled within specified regulatory guidelines and Max Life claims guarantee timelines with acceptable levels of accuracy.
- Ensure that customer satisfaction scores for claims are within acceptable range.
- Reporting of regulatory submissions related to the patch.
- Review and approve payments and repudiations of claims within his/her specified authority limit.
- Partake in claims production and support related activities
MEASURES OF SUCCESS
- Accuracy, Quality, Productivity and Timeliness of processing and Approvals
- Claims Audit Ratings , compliance benchmarks and adherence to process.
- Customer Transaction assessment scores
MINIMUM EDUCATION & EXPERIENCE-
- Graduate/Post Graduate with 4 to 6 years of experience in Insurance / Risk / Operations preferably in Claims management and processing
- Should be well versed with MS office.
- Added qualifications from Insurance Institute of India, LOMA, ICA etc will be preferred.
Employment Type: Full Time, Permanent
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based on 5.3k employees
Flexible timing
Monday to Saturday
Within city
Day Shift
Axis Max Life Insurance Benefits
Job Training 
Soft Skill Training 
Health Insurance 
Work From Home 
Team Outings 
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