Claims Advisor

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.