Claims Analyst

Mumbai, Maharashtra
Permanent
Full-time

1 month ago

Claims AnalystIndia - MumbaiFunctional Title: Claims AnalystReporting to: Team Lead - L&H Claims IndiaLocation: MumbaiAbout Swiss ReThis is your opportunity to join one of the world's leading reinsurers. Our reinsurance business at Swiss Re is about understanding and analyzing the major risks that concern the world - from natural catastrophes to climate change, from ageing populations to cybercrime. We cover both Property & Casualty and Life & Health. We combine experience with expertise and innovative thinking to create new opportunities and solutions for our clients. And we enable the risk-taking essential to enterprise and progress. This is only possible with around 15,000 truly exceptional Swiss Re people across our group worldwide.About the RoleThis role provides an excellent opportunity to be a part of Swiss Re L&H Claims team and collaborate with clients and various teams within Swiss Re locally and regionally. This role will be instrumental in the implementation of a significant and relevant claims' philosophy whilst promoting and sharing standard process claims management techniques with clients and internal stakeholders. In this role, you will:

be handling mortality, critical illness, hospital cash, disability etc. claims.
Assess and handle client claims case referrals within the terms and conditions of the policy within the agreed turnaround times.
Handle the day-to-day planning and operations to carry out their responsibilities optimally
Ensure Client Audits are conducted within internal framework and supervise implementation of any remedial actions to improve claims standards.
Support the Claims Manager in developing client portfolio management strategy, planning and carrying out Claims Audits to ensure alignment to business goals and priorities
Ensure required claims data and reports are accurate and complete for business reporting purposes (KPIs, etc.)
Work closely with team members in handling client relationships, providing solutions and value added claims services, including claims case management, training, seminars, projects etc.
Support the Claims Manager in tendering for new business, innovative product development and in promoting claims profile and expertise in the India market;
Ensure treaty documentation contains agreed terms and conditions, and the relevant claims clauses and articles according to acceptable SR standards.
Working closely with the XFT to meet the business objectives and strategic vision of the Branch/Company

About YouEducation and professional experience:

6-7 years' experience
Fellow of Life Mgt. Insurance (FLMI), Fellow of Life & Health Claims (FLHC)/ Associate of Life & Health Claims (ALHC), Associate of Customer Service (ACS) certification is a plus
A degree/diploma in insurance or similar discipline (insurance, medicine, healthcare, legal, actuarial, business disciplines, data science and mathematics) is an advantage.
Working knowledge in various data tools like Python, R, Tableau etc would be an added advantage

Skills requirements:

Significant awareness of life insurance markets and portfolio dynamics in India Market
Knowledge of products being offered in these markets along with the ability to anticipate and/or mitigate potential risks and identify product development or service opportunities
Understanding as well as knowledge of the insurance/reinsurance industry
The ability to conduct client audits and develop training materials from audit findings to strengthen client's technical knowledge
Excellent written and verbal communication skills in English, other languages a plus
Familiar with common office applications (e.g. Word, Excel and Powerpoint). Willing to learn new computer skills.

Behavior requirements:

Good track record in your career of high integrity, of dedication, client-centric approach, agility, of sensibly creating or trying new ways with success and/or learning.
Ability to work independently, Self-motivating and eager to seek challenges
Inter-personal, negotiation, communication, influencing and presentation skills
Collaboration capability and the ability to work in cross-functional teams
Courage to challenge the status quo and to explore new ideas that improve our business

About the TeamSwiss Re Life and Health (L&H) Re Claims forms part of the Swiss Re L&H Reinsurance. In addition to the Claims management of existing business, the team ensures insights gained from in-force business are appropriately incorporated in our new business activities.L&H Re-claims team works closely with many Swiss Re teams specifically L&H UW, pricing, and Client Markets to ensure Swiss Re has aligned priorities and customer focus whilst delivering market-specific, portfolio-directed services, which support our overall strategic approach to handling risks and client relationships.We are looking for team members who stand for integrity, improve continually, and navigate ambiguity. This means having the courage to be curious and to stretch yourself beyond what you already know. We want team members who inspire change fearlessly and don't always opt for the easy option, and can stay calm, focused, and resilient during difficult times.Regardless of what position we have at Swiss Re, all of us can be courageous, which will also help us in our personal and professional growth.Swiss Re offers modern hybrid working arrangements that allow all employees to adapt to changing work preferences. We currently provide employees with attractive offices, competitive benefits including annual leave, work anniversary leave and insurance coverage for medical, personal accident and life.We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, colour, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.We look forward to your application!

Swiss Re

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