Manager Non Motor Claims

On monthly basis, monitor key performance parameters such as –

• Claims settlement TAT
• Claim Settlement Ratio
• Efficiency ratio, etc.;
• Track deviations against set targets and identify reasons for deviations
• Closely monitor and control the high ageing open claims, including co-insurance claims
• Review the reserve revisions for Non Motor claims in the zone
• Enter into a discussion and negotiation with the surveyor and the client in order to obtain his consent and release payment accordingly
• To keep liaison with other departments
• Co-ordinate with Surveyor / Investigator
• Recommend head office to empanel service provider, after taking market feedback.
• Appoint appropriate surveyor and other service providers to carry out survey and assessment of loss, of reported claims.
• Monitor claims assessment and inspection conducted by surveyors in alignment with BAGIC's claims guidelines
• Maintain effective professional relationship with all the service providers including surveyors.
• Claims Review and Approval
• Study the claim related files such as brief, mandatory documents, survey reports and team leader / member recommendations for approval / advice
• Review and approval of claims upto DOA for all Non Motor LOBs
• Review and approve the repudiation cases upto DOA
• Recommend claims above DOA to the superior / NHOD for approval / repudiation
• Team development
• Establish individual performance expectations for team members and regularly review their performance in discussions with superior / NHOD
• Conducting the need based training program for the development of the team members on all product and processes

Skills Required

Team Development