SME/PE

Claims - Process Expert  / SME
Job Description:
Understand the UK/Lloyds Insurance/ Claims function end to end.
FNOL & SNOL Settlement
Document Management
Should have a basic understanding of the insurance policy and Claim life cycle.
Good to have knowledge of end-to-end Lloyds broking process
Must have good knowledge of insurance terms premium, deductibles, claim etc
Good written and verbal communication, and a team player
Strong analytical skills
Analyses and synthesizes information/makes decisions based on policies.
Responsible and dedicated to meet the clients’ expectations.
Prioritizes tasks in order of importance.
Processing Experience on Eclipse (Preferred)
Experience in working with Lloyds brokering organization (Preferred)

 

Key Responsibilities:
Review requests of FNOL thoroughly of different LOB’s receives from client
Verify coverage and other details from policy document if the received claims is a
legitimate one

Highlighting data concerns like missing/incomplete data to the claim examiners›
Record claim information in system and generate unique claim no. for future related
communication
Process the claim payments
Do a deep quality check of team members’ work
Knowledge of detailed end to end claim lifecycle
Create loss run report as requested by UW, insured & brokers etc.
Closing claims as requested by claim examiners
Work on client ad-hoc request
Support on MIS/data reporting activities

 

Qualifications:
•Graduates

•Any P&C Insurance certificate from reputed institute is an added advantageProficiency in Microsoft Office (Word, Excel, and Outlook).

 

Claims – Functional Expert-
Job responsibilities:
Should have the UK/Lloyds Insurance/ Claims function end to end.
FNOL & SNOL Settlement
Document Management
Good to have knowledge of end-to-end Lloyds broking process
Should be an expert on Insurance/Reinsurance various lines of Business which may
include- Workers Comp/Employers Liability, Specialty, General Liability, Professional
Liability, Auto/Motor Liability/Property etc.,
Review detailed claims documents received from Broker/TPA and update claim system
Ensure Quick response to any queries from Broker, Cedant or TPA
Meet set SLA/Targets
Ensure Claims are processed right first time and process documents are managed and
updated real time
Ensure Documentation completeness and adherence to quality norms like ISO, COPIS
etc
Coordinating with the client on process related issue and updates
Conducting team reviews, submitting progress reports of the team to the manager
Recommend new ideas for process improvement
Maintain the learning history for process aligned with
Gain knowledge of the end-to-end process of the Client
Present the monthly dashboards, error trend presentations and Performance
Management reports.
Ensure that the team meet / exceeds service and quality level as assigned by the Clients
Participate in calls with the client
Support the team by processing various tasks in the claim life cycle.
Analyse and input data into systems / databases
Operate process and ensure complete adherence to defined Service Level
Agreements: Ø
Productivity Ø
Turn-around-time Ø
Accuracy Ø
Timely maintenance of the various work trackers

 

Qualifications and skills required
Graduate/Postgraduate
4-6 years of Insurance experience specializing in handling UK claims
Excellent written & verbal communication
Demonstrates behaviours consistent with the organization’s values
Analyses and synthesizes information / Makes decisions based on policies
Keeps the team informed on work activities
Assumes responsibility and displays dedication to meet/exceed the expectations and
requirements of customers
Participates as team member
Plans tasks and organizes own work and sets priorities for tasks in order of importance