Executive-Appeal & Specialised Claims

Executive-Appeal & Specialised Claims

Description

• Review the MIS on an on-going basis for claims closure, claim size and settlement ratio for the allocated region.
• Propose the amount that needs to be reserved for each case after consultation with claims team to the  based on case facts
• Collect all evidences relevant to the case in coordination with claims team and thereby devise an appropriate case strategy in consultation with claims team.
• Prepare and file the WS,affidavit and document in the court; appear in court when required
• Collaborate with the advocate vendors on implementing the case strategy
• Prepare for effective contest before appropriate court/forum or tribunal and early closure of claims if it is categorized as compromise (No defense case); conduct a thorough review, meticulous follow-up on pending cases, attempt compromise in possible cases.
• Drive the team to meet their targets by conducting regular meetings to track progress on set targets 
• Guide the team to execute the appropriate line of action in respect of defense/contest case so as to have quick and proper closure of cases. 
• Act as guide for team for tough negotiations (for compromise possible cases) and critical defense/contest cases.
• Control the claim size for the region by checking and maintain the quality of claims that are settled
• Liaise with other internal functions such as Claim teams, ILM, Operations, underwriting to ensure successful closure of cases

Skills Required

Should have excellent interpersonal and nInsurance & Allied Sector Awareness ; Claims Excellence ; Legal Risk Mitigationegotiation skills

Education/Qualification

Graduate/ Post Graduate

Desirable Skills

None