Claims Advisor

Policybazaar for Business; Haryana; On-site; INR 900,000 - 1,500,000; Full time

Job summary

Policybazaar for Business seeks a capable Corporate Claims Specialist to manage end-to-end corporate/general insurance claims within a structured risk framework. You will coordinate with insurers, brokers, loss adjusters, and internal teams to ensure timely processing, accurate documentation, and adherence to policies and SLAs.

The role requires 3–8 years of relevant experience, strong MS Excel and CRM tool proficiency, and a solid understanding of claim procedures across multiple lines.

Qualifications

• 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.

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

Skills

MS Excel

CRM tools

Communication

Negotiation

Analytical skills

Work under pressure

TPA coordination

Insurer portals

Litigation exposure

Policy wordings

Claim procedures

Education

Bachelor’s degree

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

Tools

Insurance software

CRM software

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.