Claims Assessor (Personal Accident)

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...