9 ICICI Lombard General Insurance Company Jobs in Bangalore / Bengaluru

Role: Investigation Manager and have to manage daily work load of 15 to 20 claims end to end

• Triaging of claims from larger pool.
• Conduct ground inquiry with respect to brief of the case to understand the authenticity of the submitted cashless/ reimbursement/ death/ disability claim. Claim Assistance officer need to meet related person/ entity like insured/ claimant, vicinity check, hospital visit to collect claim relevant documents, meet treating doctor/ pathologist/ radiologist/ pharmacist and collect statement and relevant information which can help in adjudication of the claim. Officer needs to work on system to update the field work done on the case on regular basis and close the cases in system within stipulated TAT.
• Allocating claims to internal and external resources
• Taking regular and timely follow-up of allocated claims with internal and external resources.
• Carry out audit on the closure provided by internal and external resources.
• Have as strong hold on allocated claims and get the desired result by involving in to real time discussion with external resources.
• Maintain TAT and success ration as per the standard regional.
• Have to be ready to go down on ground as and when required to investigate health claims.
• Have to be open to travel across the state in hospitals.