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Company
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Private Ltd
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Other -- Others

Operation Lead -Claims

Bengaluru
3-6 Years

ShriRam Life Insurance Company



Department Customer Services Location HO - Bengaluru Job ID Operation Lead -Claims 3 Years of experience in Life Insurance preferably from Claims background. Graduate with Computer Proficiency with Insurance background Meet the TAT stipulated by the regulator To assess the claim and come up with a recommendation based on the given facts. System enhancements and test result validations Preparation of MIS Providing requirements for system related enhancements Scrutiny of Claim Eligibility, assessments. Follow up on claim Documents / Investigation Reports Checking the correctness of claim amount calculations vis a vis product benefits Timely Processing Claims in line with company TAT's and KPI's for settlement / repudiation Maintaining Claims statistics and analysis in respect to Claims intimated, settled, pending and pending for investigation. Preparing MIS Reports. Preparation of Repudiation note for approval. Repudiation letter draft sent to legal for approval. Claim Record Maintenance (hard copy and scanned soft copy) as per guidelines Identify problems if any in Life 400 and complete necessary form for intimation to IT. Discuss enhancements if any with seniors. Coordination with MOT Investigator Empanelment and Review New Initiatives to improve claim processing Claims investigations and fraud identification

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ShriRam Life Insurance Company
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