Claims Executive

Policybazaar for Business; Gurugram District; On-site; INR 800,000 - 1,500,000; Full time

Job summary

A leading insurance technology firm is looking for an experienced claims management professional in Gurugram. The role involves overseeing the corporate claims process across various lines of insurance, coordinating with multiple stakeholders, and ensuring compliance with policies and regulations. Candidates must possess a Bachelor's degree and 3-8 years of experience in corporate/general insurance claims, along with strong analytical and communication skills. This is a full-time position offering a dynamic work environment with opportunities for growth.

Qualifications

• A Bachelor's degree is mandatory; a Master's degree or insurance certifications like CII, IRDA, AICLA is preferred.
• 3–8 years of relevant experience in corporate/general insurance claims.
• Strong understanding of policy wordings and claims procedures across multiple lines.
• Excellent communication, negotiation, and analytical skills are necessary.

Responsibilities

• Manage and oversee the end-to-end corporate claims process across various lines of insurance.
• Analyze claim trends and prepare detailed reports on claims status and turnaround time.
• Work closely with internal teams to gather facts and provide guidance on claims processes.

Skills

Claims Management

Analytical Skills

Negotiation Skills

Communication Skills

Education

Bachelor's degree

Master's degree or insurance certifications

Tools

MS Excel

Claims software/CRM tools

Job description

Location: Gurugram

Reports to: Claims Head / Risk & Compliance Manager

Employment Type: Full-Time

Job Summary

We are seeking a detail-oriented and experienced professional to manage and oversee the end‑to‑corporate claims process across various lines of insurance (e.g., property, liability, marine, group health, etc.). The role involves coordinating with internal departments, insurance companies, loss adjusters, and legal teams to ensure timely, fair, and efficient claims resolution while minimizing risk exposure.

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; 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.

Preferred Experience

• Experience handling group health, property damage, business interruption, marine, or liability claims.
• Familiarity with insurer portals and TPA coordination.
• Legal background or exposure to litigation‑related claims is a plus.