Responsible for assessing and processing Personal Accident (PA) insurance claims accurately and efficiently while ensuring compliance with policy terms, service standards, and regulatory requirements.
Roles and Responsibilities:
- Assess and process Personal Accident (PA) insurance claims according to policy terms, guidelines, and approved authority limits.
- Verify completeness and validity of claim documents, ensuring accuracy and compliance with PA coverage requirements.
- Maintain quality and consistency of claim decisions while meeting departmental turnaround time (TAT) and service standards.
- Prepare and submit daily operational reports and other departmental reports on time.
- Participate and support process improvement initiatives, including workflow enhancement and Customer Journey Mapping.
- Ensure compliance with regulatory requirements, internal policies, audit recommendations, and risk management practice...