Claims Advisor

Policybazaar for Business · Gurugram, India

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.