Senior Executive

Ex; Dadri; On-site; INR 350,000 - 520,000; Full time

Job summary

Ex is seeking an experienced claims processor to review and adjudicate annuity death claims in Uttar Pradesh. You will verify documentation, determine eligibility, and calculate benefits while ensuring adherence to policies and regulatory guidelines.

You will liaise with beneficiaries, financial advisors, agents, and internal teams to obtain missing information, resolve discrepancies, and maintain accurate records. The role emphasizes timely adjudication and quality standards.

Responsibilities

• Review and process annuity death claims in accordance with company policies and regulatory guidelines.
• Verify claim documentation for completeness and accuracy.
• Determine claim eligibility and calculate claim benefits.
• Communicate with beneficiaries, financial advisors, agents, and internal departments to obtain missing information or resolve discrepancies.
• Ensure timely claim adjudication while meeting established turnaround time and quality standards.
• Maintain accurate claim records and update workflow systems.
• Identify and escalation complex or high-risk claims to appropriate teams.
• Ensure compliance with applicable legal, regulatory, and audit requirements.
• Participate in quality reviews, process improvement initiatives, and training activities.
• Support cross-functional teams to enhance operational efficiency and customer satisfaction.

Job description

• Review and process annuity death claims in accordance with company policies and regulatory guidelines.
• Verify claim documentation for completeness and accuracy.
• Determine claim eligibility and calculate claim benefits.
• Communicate with beneficiaries, financial advisors, agents, and internal departments to obtain missing information or resolve discrepancies.
• Ensure timely claim adjudication while meeting established turnaround time and quality standards.
• Maintain accurate claim records and update workflow systems.
• Identify and escalation complex or high-risk claims to appropriate teams.
• Ensure compliance with applicable legal, regulatory, and audit requirements.
• Participate in quality reviews, process improvement initiatives, and training activities.
• Support cross-functional teams to enhance operational efficiency and customer satisfaction.