Claims Service Representative

Job Purpose:

The primary responsibility of this role is to manage and service Group Personal Accident (GPA) claims, ensuring efficient processing, proper documentation, and timely resolution. The role requires maintaining an updated claims database, coordinating with claimants, handling queries, and ensuring adherence to claim settlement timelines.

Primary Job Responsibilities:

Scrutinization & Claim Status Updation:

• Review claim documents for completeness and accuracy.
• Update claim status on the ARIBL Claim Portal based on received documents.
• Flag discrepancies or missing information for timely resolution.

MIS Maintenance & Analytics:

• Maintain a comprehensive MIS for all claims, ensuring data accuracy.
• Generate analytical reports to track claim trends and performance metrics.