Job Description
Qualification: Bachelor's/Master's
Experience: 4-8 Years
Location: Vikhroli, Mumbai (Looking for candidates from Mumbai Only)
Past experience in Claims from Insurance Industry
Responsibilities Include:
• Supervise a team of claims adjusters, examiners, and other staff involved with the claims management and claims processing departments
• Review company policy to determine coverage or liability for new claims
• Ensure legal compliance, adherence to claims processes, and timely payments
• Pursue continued education opportunities to remain abreast of emerging laws or other required changes to insurance-related processes
• Facilitate the settling of complex claims and process related paperwork
• Determine and delegate claims settlement authority to claims representatives.
• Provide support, guidance, leadership and motivation to promote maximum performance.
• Responsible for preparing executive reporting and analysis that is consistent with defined standards and processes.
• Provide technical guidance to staff on claim investigation, reserving evaluation and resolution of claims.
• Evaluate, handle claims from members and other claimants.
• Manage all aspects of the day-to-day operations of claims production.
• Interact extensively with various parties involved in the claim process.
• Apply appropriate interventions and follow up.
• Ability to work in a fast paced, team environment.
• Ability to multitask, take initiative, prioritise, and manage time effectively.
Skills Required:
- People Skills - Puts the needs of the client first.
- Product Knowledge
- Good Customer Service
- Persistence
- Communication
- Negotiation
- Problem Solving
Role: Operations Support - Other
Industry Type: Insurance
Department: Customer Success, Service & Operations
Employment Type: Full Time, Permanent
Role Category: Operations Support
Education
UG: Any Graduate
Job Type: Full-time
Salary: ₹18,000.00 - ₹25,000.00 per month
Benefits:
• Health insurance
• Paid sick time
• Provident Fund
Schedule:
• Day shift
Supplemental pay types:
• Performance bonus
Ability to commute/relocate:
• Mumbai, Maharashtra: Reliably commute or planning to relocate before starting work (Required)
Education:
• Bachelor's (Preferred)
Experience:
• Operations (Required)
• Claims (Preferred)
Speak with the employer
++1 7+7728XXXXXX
💡 Quick Summary
Seeking a career-building opportunity? The Operations Executive position is now open for candidates interested in the MIS Executive sector. This role in Mumbai offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in MIS Executive is a plus.
