Motor Claims Hub manager

Aussicht: 101

Update Tag: 06-05-2024

Ort: Pune Maharashtra

Kategorie: Versicherung Bildung / Ausbildung

Industrie: Insurance

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Jobinhalt

Monitor and analyze claims ratio, settlement ratio, claims size and frequency of recorded motor OD claims for a region.
Conduct preliminary investigation to identify type of claim and extent of liability within the scope of the region and approve claims above branch limits as per DOA.
Responsible for ensuring all regions are operating efficiently and monitor loss minimization
Ensure that all the claims are addressed as per stipulated guidelines and within TAT
Conduct regular audits of Body shops to maintain Process standardization and address and resolve any areas of concern.
Maintain proper documentation of complaints and grievances as per regulatory requirements.
Support the team in assessing complex, fraudulent, and high end claims before reporting it to HO
Monitor fraudulent activities & build mechanism to control the same.
Implement SOPs for the region as directed by the central team.

Interact with manufacturers to assess claims and provide feedback on their claims assessment processes for enhancing operational effectiveness
Maintain relationship with market technical teams in other claims departments to discuss claims patterns and agendas
Interacting with dealers to discuss various motor products and claims associated with it.
Handle and resolve any complaints received by a customer in coordination with channel partners, while maintaining Quality and Customer service standards.
Redress grievances received by customers regarding non payable claims.
Makes prompt contact with policyholders and claimants to schedule appropriate method of inspection and set repair expectations.

Reviewing defined metrics periodically and strategize to take appropriate actions in case of any irregularity or variance with the team.
Monitoring adherence of various processes in motor claims to ensure compliance with regulatory requirements
Conduct periodic field visits and weekly reviews with the team around claim settlements/ bottlenecks and lags.
Review analytics for the regional team regularly to track profitability & loss minimization

Participate in selection process to identify the right talent for positions within the department
Establish individual performance expectations for talent and regularly review their performance
Identify training needs of team and create development plans for team members to enhance domain knowledge, negotiation skills and develop expertise to drive growth in productivity
Effectively engage team and support in professional development of team members to minimize the risk of talent loss

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