bajajallianz Hiring for Manager Non Motor claims Job at Patna

  • Full Time
  • Patna
  • Posted 3 years ago

bajajallianz

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  • Claims operations

On monthly basis, monitor key performance parameters such as –

  • Claims settlement TAT
  • Claim Settlement Ratio
  • 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
  • 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.
  • 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
  • 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
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