Role Overview
The Senior Associate/Specialist - Home Insurance Claims Handler will manage and process claims filed by
group/retail customers under home insurance policies. The role involves handling claims for both self-owned and
leveraged properties, ensuring accurate assessments, compliance with policy terms, and exceptional customer
service. The claims handled may arise from various insured events, as outlined below. This position demands
expertise in Property and Casualty (P&C) insurance, strong analytical abilities, and a customer-centric approach to
ensure timely and accurate claims resolution.
Claims Handling
- Manage end-to-end claims processes for home insurance policies, covering both structure and/or
contents.
- Ensure accurate and thorough evaluation of claims documentation for compliance with policy terms
and conditions.
- Manage end-to-end claims processes for home insurance policies, covering both structure and/or
contents. Assess and validate claims arising from any of the following insured events:
- Fire
- Explosion or Implosion
- Lightning
- Earthquake, volcanic eruption, or other convulsions of nature
- Storm, Cyclone, Typhoon, Tempest, Hurricane, Tornado, Tsunami, Flood, and
Inundation
- Subsidence of land, Landslides, or Rockslides
- Bush fire, Forest fire, Jungle fire
- Impact damage caused by external objects (e.g., vehicles, falling trees, aircraft, walls,
etc.)
- Missile testing operations
- Riots, Strikes, Malicious Damages
- Acts of terrorism (as per the Terrorism Clause)
- Bursting or overflowing of water tanks, apparatus, and pipes
- Leakage from automatic sprinkler installations
- Theft
Customer Interaction
- Act as a primary point of contact for customers, providing clear guidance and support throughout the
claims process.
- Communicate policy coverage details, exclusions, and settlement outcomes professionally and
empathetically.
Claims Assessment And Investigation
- Collaborate with surveyors, loss assessors, and other relevant stakeholders to verify claims and assess
damage.
- Conduct detailed evaluations of claim eligibility and recommend settlement amounts based on policy
guidelines.
Regulatory Compliance
- Maintain accurate and detailed claims records, ensuring compliance with internal policies, regulatory
requirements, and KYC norms.
- Stay updated on regulatory guidelines related to home insurance and P&C claims handling.
- Fraud Detection:
Identify potential fraudulent claims and escalate them to the appropriate teams for further investigation.
Team Collaboration
- Work closely with underwriters, surveyors, and other internal teams to facilitate efficient claim
settlements.
- Provide insights and feedback based on observed claim trends and customer feedback, which helps
Underwriters and the product development team for better product & benefit planning.
Key Competencies
- Empathy and professionalism in customer interactions.
- Ability to handle multiple claims efficiently while maintaining accuracy.
- Collaborative mindset with the ability to work across teams and departments.
- A proactive approach to identifying and resolving claims-related challenges
This role offers an opportunity to leverage your expertise in P&C insurance and home insurance claims
management while delivering a superior customer experience.
Expertise And Qualifications
- Any Bachelors degree, preferably in Finance, Business, insurance, or a related field.
- Minimum 3-5 years of experience in insurance claims handling, with a preference for expertise in Property
and Casualty (P&C) insurance.
- Comprehensive knowledge of home insurance products, insured event coverages, and exclusions.
- Strong analytical skills and attention to detail for claims assessment and validation.
- Excellent customer service and communication skills.
- Proficiency in claims management systems and related tools.
- Familiarity with regulatory compliance, fraud prevention, and KYC processes.
Skills: claims handling,insurance,insurance claims,fire insurence claims,insurance policies
