Claims Advisor

Policybazaar for Business; Gurugram District; On-site; INR 900,000 - 1,200,000; Full time

Job summary

Policybazaar for Business is seeking an experienced claims professional to manage corporate insurance claims end-to-end, liaising with insurers, brokers, loss adjusters, and TPAs. The role emphasizes timely processing, documentation, and adherence to controls and SLAs.

The ideal candidate holds a Bachelor’s degree with 3–8 years in corporate/general claims, strong knowledge of policy wordings, and proficiency in Excel and CRM tools. Excellent communication and negotiation skills are essential.

Qualifications

• Bachelor’s degree required; higher qualifications preferred.
• 3–8 years of corporate/general insurance claims experience.
• Strong knowledge of policy wordings and claim procedures across lines.
• Proficiency in Excel and 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 is a plus.
• Experience handling group health, property damage, business interruption, marine, or liability claims.

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 (legal, operations, HR, finance) to gather facts and documents.
• Provide guidance to business units on claims process and policy coverage.
• 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.

Skills

Communication skills

Negotiation

Analytical skills

Ability to work under pressure

Policy wordings knowledge

TPA coordination

Insurer portals familiarity

Litigation exposure

Cross-functional collaboration

Education

Bachelor's degree

Master’s degree or insurance certifications

Tools

MS Excel

Claims software/CRM tools

Job description

Key Responsibilities:

Claims Management

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.

Analysis & Reporting:

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.

Continuous Improvement:

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

claims.