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Assistant Manager - Motor OD claims

Assistant Manager - Motor OD claims

ConfidentialChandigarh, India
6 days ago
Job description
  • Claims management
  • 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.
  • Relationship management
  • 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.
  • Regional Review
  • 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
  • Team development
  • 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

    • Skills Required

    Claims Management, Team Development, Documentation, Relationship Management, Process Standardization, Analytics

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    Assistant Manager • Chandigarh, India

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