Senior Associate - Claims

QBE Insurance Group; Mumbai; On-site; INR 600,000 - 900,000; Full time

Job summary

QBE Insurance Group in Mumbai is seeking an experienced insurance claims processor to maintain MIS and settle claims in line with company policy. You will handle incoming claims, assess coverage, set reserves and ensure timely disbursements while maintaining strong relationships with insureds, agents and service providers.

The role requires at least 3+ years in insurance services, strong communication skills, and the ability to work independently while upholding high service standards.

Qualifications

• Must have strong communication and interpersonal skills.
• Proficient PC skills with fast and accurate typing.
• Ability to work independently while maintaining quality service standards.

Responsibilities

• Maintain MIS and process settlement of insurance claims per policy and guidelines.
• Manage claims reception, recording and processing; determine coverage applicability.
• Set reserves and settle claims cost-effectively; ensure timely disbursements.
• Identify potentially fraudulent claims and escalate as needed.
• Maintain relationships with insured, agents, service providers and internal teams.
• Respond to requests per service standards and provide claims activity feedback to underwriters.

Skills

Communication

Typing speed

Independent work

Education

Tertiary education

Professional qualification in Insurance

Job description

Primary Details

Time Type: Full time

Worker Type: Employee

To Maintain MIS & process the settlement of insurance claims in compliance to the Company’s policy and guidelines.

Primary Responsibilities

• Strategy and Planning
• Nil
• Policy, Process and Procedures
• Maintaining current knowledge of insurance guidelines and policy changes and modifications
• Environmental Awareness/Customer Focus
• Maintain good relationships with the insured, agents, service providers and other internal counterparts
• Respond to requests in accordance with service standards
• Provide information and feedback on claims activity and developing trends to underwriters/risk assessors to enable appropriate actions to be carried out
• Technical Performance
• Receiving, recording and processing all incoming insurance claims
• Interpreting basic policy coverage’s and determining if coverage’s apply to claims submitted, escalating issues as needed
• Setting reserves and settling claims in the most cost effective manner and ensuring timely issuance of disbursements
• Identifying suspicious or potentially fraudulent claims, notifying supervisor, arranging investigation and briefing solicitors if further action is to be taken
• People Management
• Nil

Preferred Competencies/Skills

• Good communication and interpersonal skills
• Sound PC skills with fast and accurate typing
• Able to work independently and ensure quality service standard provided

Preferred Education Specifics

• Tertiary education

Preferred Experience

• Minimum 3+ years’ experience in insurance services

Preferred Licenses/Certifications

• Professional qualification in insurance or related disciplines

Preferred Knowledge

• Basic claims knowledge and understanding of insurance

QBE Cultural DNA

• Everything we do at QBE is underpinned by our DNA (which interlinks seven cultural elements) – because we know it’s not just what we do that matters, it’s how we do it that makes the difference. We expect all employees to role model and inspire the right behaviours that link to our cultural elements:
• We are customer-focused
• We are technical experts
• We are inclusive
• We are fast-paced
• We are courageous
• We are accountable
• We are a team
• All employees are expected to adhere to QBE’s Code of Ethics and Conduct and apply sound risk management practices

US Only - Disclaimer

• To successfully perform this job, the individual must be able to perform each essential job responsibility satisfactorily. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential job responsibilities.

Global Disclaimer

• The duties listed in this job description do not limit the assignment of work. They are not to be construed as a complete list of the duties normally to be performed in the position or those occasionally assigned outside an employee’s normal duties. Our Group Code of Ethics and Conduct addresses the responsibilities we all have at QBE to our company, to each other and to our customers, suppliers, communities and governments. It provides clear guidance to help us to make good judgement calls.

Equal Employment Opportunity:

QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.