Claims Advisor

Policybazaar for Business; Gurugram District; On-site; INR 600,000 - 800,000; Full time

Job summary

Policybazaar for Business in Gurugram is seeking a Claims Analysis & Reporting specialist to register and process corporate insurance claims and liaise with insurers, brokers, and TPAs.

You will analyze claim trends, prepare MIS reports and dashboards, ensure policy compliance, and support risk, legal, and finance teams with insights.

Qualifications

• Bachelor’s degree mandatory; Master’s degree or insurance certifications preferred.
• 3–8 years of relevant experience in corporate/general insurance claims.
• Strong understanding of policy wordings and claim procedures across multiple lines.
• Proficiency in MS Excel, claims software/CRM tools.
• Excellent communication, negotiation, and analytical skills.
• Ability to work under pressure and meet tight deadlines.
• Familiarity with insurer portals and TPA coordination.
• Legal background or exposure to litigation-related claims is a plus.

Responsibilities

• Register and process corporate insurance claims in a timely manner.
• Liaise with insurers, brokers, loss adjusters, and third parties to manage claims end-to-end.
• Ensure proper documentation and adherence to internal controls and regulatory requirements.
• Analyze claim trends and provide insights to risk, legal, and finance teams.
• Prepare detailed MIS reports and dashboards on claims status, turnaround time (TAT), loss ratios, etc.
• Work closely with internal teams to gather facts and documents; provide guidance on claims process and policy coverage.
• Ensure claims are managed in accordance with policy terms, SLAs, and legal guidelines.

Skills

Communication

Negotiation

Analytical skills

Stakeholder management

Work under pressure

Education

Bachelor’s degree

Master’s degree or insurance certifications (CII/IRDA/AICLA)

Tools

MS Excel

Claims software/CRM tools

Job description

Analysis & Reporting:

Register and process corporate insurance claims in a timely manner.

Liaise with insurers, brokers, loss adjusters, and third parties to manage claims end-to-end.

Ensure proper documentation and adherence to internal controls and regulatory requirements.

Analyze claim trends and provide insights to risk, legal, and finance teams.

Prepare detailed MIS reports and dashboards on claims status, turnaround time (TAT), loss ratios,

etc.

Stakeholder Coordination:

Work closely with internal teams (legal, operations, HR, finance) to gather facts and documents.

Provide guidance to business units on claims process and policy coverage.

Policy & Compliance:

Ensure claims are managed in accordance with policy terms, SLAs, and legal guidelines.

Participate in periodic claims audits and risk assessments.

Suggest improvements to the claims management process and documentation standards.

Maintain knowledge of changing insurance regulations and industry best practices.

Qualifications & Skills:

Bachelor’s degree (mandatory); Master’s degree or insurance certifications (like CII, IRDA, AICLA)

preferred.

3–8 years of relevant experience in corporate/general insurance claims.

Strong understanding of policy wordings and claim procedures across multiple lines.

Proficiency in MS Excel, claims software/CRM tools.

Excellent communication, negotiation, and analytical skills.

Ability to work under pressure and meet tight deadlines.

Familiarity with insurer portals and TPA coordination.

Legal background or exposure to litigation-related claims is a plus.

Preferred Experience:

Experience handling group health, property damage, business interruption, marine, or liability