Senior Manager- Claims

PeopleStrong; Maharashtra; On-site; INR 400,000 - 600,000; Full time

Job summary

PeopleStrong in Maharashtra is seeking a skilled claims management professional to oversee end-to-end processing across insurance lines, from intimation to settlement. You will coordinate with clients, insurers, TPAs, surveyors, loss assessors, and other stakeholders to ensure smooth claims handling.

Responsibilities include reviewing documents, maintaining accurate MIS, tracking claims, meeting SLAs, guiding clients on policy coverage and procedures, and resolving delays or discrepancies

Responsibilities

• Manage end-to-end claims handling across various lines of insurance, from intimation to settlement/closure.
• Coordinate with clients, insurers, TPAs, surveyors, loss assessors, and other stakeholders for smooth claim processing.
• Review claim documents and ensure completeness as per policy requirements.
• Register and track claims and maintain accurate claims records and MIS.
• Follow up with insurers/TPAs for claim status, approvals, queries, settlements, and payments.
• Assist clients in understanding policy coverage, exclusions, claim procedures, and documentation requirements.
• Identify and escape claim-related issues, delays, and discrepancies to the appropriate stakeholders.
• Ensure claims are processed within agreed TATs and service-level standards.
• Support clients in resolving repudiations, deductions, documentation gaps, and other claim-related concerns.
• Prepare regular claims MIS, ageing reports, pending claims reports, and management dashboards.
• Coordinate with the broking/client servicing team to ensure effective communication and timely resolution of client concerns.
• Maintain strong relationships with clients and insurance partners.
• Ensure adherence to internal processes, compliance requirements, and documentation standards.

Job description

• Manageend-to-end claims handling across various lines of insurance, from intimation to settlement/closure.
• Coordinate withclients, insurers, TPAs, surveyors, loss assessors, and other stakeholders for smooth claim processing.
• Review claim documents and ensure completeness as per policy requirements.
• Register and track claims and maintain accurate claims records and MIS.
• Follow up with insurers/TPAs forclaim status, approvals, queries, settlements, and payments.
• Assist clients in understanding policy coverage, exclusions, claim procedures, and documentation requirements.
• Identify and escape claim-related issues, delays, and discrepancies to the appropriate stakeholders.
• Ensure claims are processed within agreedTATs and service-level standards.
• Support clients in resolving repudiations, deductions, documentation gaps, and other claim-related concerns.
• Prepare regularclaims MIS, ageing reports, pending claims reports, and management dashboards.
• Coordinate with the broking/client servicing team to ensure effective communication and timely resolution of client concerns.
• Maintain strong relationships with clients and insurance partners.
• Ensure adherence to internal processes, compliance requirements, and documentation standards.