Skill Required
Insurance Services - Insurance Claims
Designation
Business Advisory Associate
Qualifications
BTech / Any Graduation / Bachelors of Information Technology
Years of Experience
1 to 3 years
What Would You Do
We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.
- Scope of work is to review the Insurance certificates and track the Insurance Information from the certificate or other proof of insurance received in Insurance tracking tool. The team will perform comparative review of borrower’s proof of insurance coverage against the requirement as per the loan documents to verify adherence and create exception records in the system based on client requirements and approved matrices. Generate Letters and Reports, communicate non-adherence to the Borrowers/Agents and follow up on based on the Client approved matrices.
- You will be responsible for developing and delivering business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery.
What Are We Looking For
- Credit risk assessment and reinsurer exposure monitoring using financial and operational datasets.
- Detection of duplicate claims, premium mismatches, and reconciliation exceptions using machine learning.
- Predictive analytics for recoverability, collections prioritization, and dispute resolution.
- Design and deployment of AI-powered workflows to improve operational efficiency across reinsurance and claims.
Roles and Responsibilities
- In this role you are required to solve routine problems, largely through precedent and referral to general guidelines.
- Your expected interactions are within your own team and direct supervisor.
- You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments.
- The decisions that you make would impact your own work.
- You will be an individual contributor as a part of a team, with a predetermined, focused scope of work.
- Please note that this role may require you to work in rotational shifts.
Qualification
BTech, Any Graduation, Bachelors of Information Technology