589 Claims Analyst jobs in India
Senior Claims Analyst
Posted 8 days ago
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Job Description
Key responsibilities include:
- Reviewing and processing a high volume of insurance claims, ensuring adherence to policy terms and conditions.
- Conducting in-depth investigations into claim validity, gathering evidence, and interviewing relevant parties.
- Analyzing policy language to determine coverage and identify potential fraud indicators.
- Calculating claim settlements and negotiating fair resolutions with claimants and their representatives.
- Maintaining accurate and detailed claim records in the company's claims management system.
- Collaborating with adjusters, underwriters, and legal teams on complex or litigated claims.
- Providing guidance and mentorship to junior claims staff.
- Identifying trends and patterns in claims data to recommend process improvements.
- Ensuring compliance with all relevant regulations and industry best practices.
Senior Claims Analyst
Posted 9 days ago
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Job Description
Senior Claims Analyst
Posted 9 days ago
Job Viewed
Job Description
Key Responsibilities:
- Investigate, evaluate, and settle insurance claims in accordance with policy provisions and company guidelines.
- Analyze claim details, gather necessary documentation, and assess liability and coverage.
- Communicate effectively with policyholders, claimants, witnesses, and other relevant parties.
- Make well-reasoned decisions on claim validity and payout amounts.
- Identify potential fraud indicators and escalate as necessary.
- Ensure compliance with all state and federal insurance regulations.
- Provide guidance and mentorship to junior claims adjusters and analysts.
- Maintain accurate and thorough claim files and documentation.
- Contribute to the development and improvement of claims processing procedures.
- Stay updated on industry trends, policy changes, and regulatory updates.
Qualifications:
- Bachelor's degree in Business Administration, Finance, Law, or a related field.
- Minimum of 4-6 years of experience in insurance claims processing, analysis, or adjustment.
- In-depth knowledge of various insurance policies (e.g., auto, property, casualty).
- Strong analytical, investigative, and problem-solving skills.
- Excellent communication, negotiation, and interpersonal skills.
- Proficiency in claims management software and Microsoft Office Suite.
- Ability to work independently, manage time effectively, and meet deadlines in a remote setting.
- Strong understanding of ethical practices and regulatory compliance in the insurance industry.
- Detail-oriented with a commitment to accuracy.
- Relevant insurance designations or certifications (e.g., AIC, CPCU) are a strong advantage.
Senior Claims Analyst
Posted 12 days ago
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Job Description
Responsibilities:
- Investigate, evaluate, and adjudicate complex insurance claims in accordance with policy provisions and company guidelines.
- Gather and analyze detailed information from various sources, including policyholders, witnesses, and external experts.
- Determine coverage, liability, and damages, and negotiate settlements with claimants and legal representatives.
- Identify and escalate potential fraudulent claims for further investigation by the Special Investigations Unit.
- Maintain accurate and comprehensive claim files, documenting all activities, decisions, and communications.
- Provide clear and concise explanations of claim decisions to policyholders and relevant parties.
- Collaborate with underwriting, legal, and other departments to ensure a cohesive approach to claims management.
- Mentor and provide guidance to junior claims adjusters and team members.
- Stay updated on industry trends, regulatory changes, and best practices in claims handling.
- Contribute to the development and implementation of process improvements to enhance efficiency and effectiveness.
- Bachelor's degree in Business Administration, Finance, Law, or a related field.
- Minimum of 5 years of experience in insurance claims handling, with a strong focus on property and casualty or general liability.
- Proven ability to analyze complex data, make sound judgments, and negotiate effectively.
- Excellent written and verbal communication skills, with the ability to explain technical information clearly.
- Proficiency in claims management software and Microsoft Office Suite.
- Strong problem-solving skills and attention to detail.
- Ability to work independently and manage a caseload effectively in a remote environment.
- Relevant professional certifications (e.g., CPCU, AIC) are a plus.
- Demonstrated ability to adapt to a changing regulatory and market landscape.
Senior Claims Analyst
Posted 12 days ago
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Job Description
Senior Claims Analyst
Posted 19 days ago
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Job Description
Senior Claims Analyst
Posted 19 days ago
Job Viewed
Job Description
Responsibilities:
- Investigate and analyze complex insurance claims across various policy types.
- Determine coverage, liability, and damages based on policy terms, conditions, and applicable laws.
- Communicate effectively with policyholders, claimants, legal counsel, and other parties involved in the claims process.
- Negotiate claim settlements within authorized limits.
- Manage a caseload of claims, ensuring timely processing and resolution.
- Maintain accurate and detailed claim files and documentation.
- Identify potential fraud indicators and escalate suspicious claims for further investigation.
- Provide expert guidance and support to junior claims adjusters.
- Stay updated on industry best practices, regulatory changes, and evolving claims management techniques.
- Contribute to the development and refinement of claims handling procedures.
This role is based in Vijayawada, Andhra Pradesh, IN but is fully remote. A Bachelor's degree in Business Administration, Finance, Law, or a related field is preferred. Professional certifications such as CPCU (Chartered Property Casualty Underwriter) are highly advantageous. A minimum of 5 years of experience in claims adjusting or claims analysis within the insurance industry is required. Strong understanding of insurance law and regulatory compliance is essential.
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Senior Claims Analyst
Posted 19 days ago
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Job Description
Responsibilities:
- Investigate, evaluate, and settle complex insurance claims.
- Interpret insurance policies and determine coverage.
- Assess liability and calculate claim values.
- Negotiate settlements with claimants and their representatives.
- Identify and manage subrogation opportunities and potential fraud.
- Collaborate with policyholders, agents, and legal counsel.
- Mentor and guide junior claims analysts.
- Develop and refine claims processing procedures.
- Ensure compliance with all regulatory requirements.
- Maintain accurate and detailed claim files and records.
- Contribute to claims training programs.
- Provide exceptional customer service throughout the claims process.
- Bachelor's degree in Business Administration, Finance, or a related field.
- Minimum of 5 years of experience in insurance claims handling.
- Proven expertise in evaluating and settling complex claims.
- Strong knowledge of insurance law and regulations.
- Excellent analytical, negotiation, and decision-making skills.
- Exceptional communication and interpersonal abilities.
- Ability to work independently and manage a caseload effectively.
- Relevant insurance certifications are a plus.
Remote Insurance Claims Analyst
Posted 1 day ago
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Job Description
- Reviewing and processing insurance claims in a timely and accurate manner.
- Verifying policy coverage and determining eligibility for claims.
- Investigating claim details, including gathering documentation and statements.
- Assessing damages and calculating appropriate claim settlements.
- Communicating with policyholders, claimants, and relevant third parties.
- Ensuring compliance with insurance laws, regulations, and company policies.
- Documenting all claim activities, decisions, and communications in the claims system.
- Identifying potential fraudulent claims and escalating them for further investigation.
- Maintaining accurate records and preparing claim reports.
- Providing excellent customer service to policyholders throughout the claims process.
Qualifications:
- Bachelor's degree in Business Administration, Finance, Law, or a related field, or equivalent experience.
- Minimum of 2-4 years of experience in insurance claims handling or processing.
- Knowledge of insurance policies, procedures, and relevant legal/regulatory frameworks.
- Strong analytical, investigative, and problem-solving skills.
- Excellent attention to detail and accuracy.
- Proficiency in claims management software and MS Office Suite.
- Strong written and verbal communication skills.
- Ability to work independently and manage time effectively in a remote environment.
- High degree of integrity and ethical conduct.
Lead Insurance Claims Analyst
Posted 14 days ago
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Job Description
Responsibilities:
- Analyze large volumes of claims data to identify trends, patterns, and potential areas for improvement in claims processing and risk management.
- Develop and implement strategies to optimize claims handling efficiency and reduce loss ratios.
- Conduct thorough reviews of complex claims, ensuring compliance with policy terms, conditions, and regulatory requirements.
- Provide expert guidance and mentorship to junior claims adjusters and analysts.
- Collaborate with underwriting, actuarial, and legal departments to address complex claims issues and develop appropriate solutions.
- Create detailed reports and presentations for senior management on claims performance, emerging risks, and strategic recommendations.
- Contribute to the development and refinement of claims handling best practices and standard operating procedures.
- Utilize advanced analytics tools and software to support data-driven decision-making.
- Monitor industry best practices and regulatory changes to ensure the company remains compliant and competitive.
- Manage relationships with third-party service providers involved in the claims process.
- Bachelor's degree in Business Administration, Finance, Risk Management, or a related field.
- Minimum of 7 years of progressive experience in insurance claims analysis and management.
- Proven track record in analyzing complex insurance claims across various lines of business (e.g., property, casualty, auto, health).
- In-depth knowledge of insurance principles, policies, and regulatory frameworks.
- Strong analytical and quantitative skills, with proficiency in data analysis tools (e.g., Excel, SQL, R, Python).
- Excellent report writing and presentation skills.
- Demonstrated leadership abilities and experience in mentoring team members.
- Ability to work independently and collaboratively in a fully remote setting.
- Strong understanding of risk assessment and mitigation strategies.
- Exceptional problem-solving and decision-making capabilities.