Y-Axis Jobs Logo
Send us feedback
telephone  +91 7670 800 001
Log in Sign up Try Premium
Assistant Manager claims at ACKO
Bengaluru, karnataka, India -
Full Time

Start Date

Immediate

Expiry Date

17 Mar, 26

Salary

0.0

Posted On

17 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Claims Processing, Data Entry, Insurance, Customer Service, Microsoft Office Suite, Claims Adjudication, Fraud Prevention, Documentation Verification, Process Improvement, Regulatory Compliance, Communication, Team Coordination, Investigation Coordination, Quality Standards, Industry Knowledge

Industry

technology;Information and Internet

Description
About Job The Life Insurance Group Claim Adjudicator is responsible for reviewing, analyzing, and adjudicating group life insurance claims in accordance with policy terms, company guidelines, and regulatory requirements. The role ensures timely and accurate assessment of claims while maintaining a high level of customer service and compliance. The adjudicator will work closely with internal teams, clients, and external partners to ensure efficient claims processing and resolution Skills & Qualification Education: Bachelor's degree or equivalent Experience: 2-5 years of experience in claims processing, data entry, insurance, or a related administrative Technical Skills: Proficiency in Microsoft Office Suite (Word, Excel) and the ability to quickly learn and navigate claims processing software/systems. Responsibilities Review and assess group life insurance claims to determine eligibility, validity, and settlement amount based on policy provisions and documentation. Verify claim documentation, including medical records, death certificates, employer statements, and other supporting evidence. Coordinate with the investigation team when required to confirm authenticity and prevent fraud. Ensure claims are processed within defined turnaround times and regulatory timelines. Maintain adherence to internal quality standards and audit requirements. Liaise with underwriters, reinsurers, and other internal stakeholders for complex or high-value cases. Communicate claim decisions and rationale clearly to clients, intermediaries, and policyholders. Support process improvement initiatives and contribute to the enhancement of claims procedures. Maintain updated knowledge of insurance products, regulatory changes, and industry best practices.
Responsibilities
The Assistant Manager Claims is responsible for reviewing and assessing group life insurance claims to determine eligibility and settlement amounts. They will also coordinate with internal teams and external partners to ensure efficient claims processing and maintain compliance with regulations.