Executive Non Motor Claims

1. Claims operations

On monthly basis, monitor key performance parameters such as -

1. Claims settlement TAT
2. Claim Settlement Ratio
3. Efficiency ratio, etc.;

• Track deviations against set targets and identify reasons for deviations
• Closely monitor and control the high ageing open claims, including co-insurance claims
• Review the reserve revisions for Non Motor claims in the zone
• Enter into a discussion and negotiation with the surveyor and the client in order to obtain his consent and release payment accordingly
• To keep liaison with other departments

1. Co-ordinate with Surveyor/Investigator

• Recommend head office to empanel service provider, after taking market feedback.
• Appoint appropriate surveyor and other service providers to carry out survey and assessment of loss, of reported claims.
• Monitor claims assessment and inspection conducted by surveyors in alignment with BAGIC s claims guidelines
• Maintain effective professional relationship with all the service providers including surveyors.

1. Claims Review and Approval

• Study the claim related files such as brief, mandatory documents, survey reports and team leader/member recommendations for approval/advice
• Review and approval of claims upto DOA for all Non Motor LOBs
• Review and approve the repudiation cases upto DOA
• Recommend claims above DOA to the superior/NHOD for approval/repudiation

1. Team development

• Establish individual performance expectations for team members and regularly review their performance in discussions with superior/NHOD
• Conducting the need based training program for the development of the team members on all product and processes

Mandatory Skills:

Experience of non-motor claims in insurance industry .

Past experience of corporate surveyor company

Desirable Skills:

1.Good communication skills.

2.Flexible adaptable to change.

3.Well versed with MS Office.

4.Should have good analytical and problem-solving skills.

5.Should be aware of the Local language.

Years Of Experience:

6 to 10 years

Education/Qualification:

Engineering Graduate or Cost Accountant / Chartered Accountant

Insurance qualification - Fellowship/CII/MBA in Insurance