Claims Operations Triager II

POSITION  

Location:                                                 Bangalore 

Corporate Band/Title:                          F2/Associate 

JOB PURPOSE  

We are looking for an agile, motivated and proactive personality who is ready to join our Triage Team in Bangalore as a Claims Triager! You will be responsible for indexing and distributing the incoming claims documents from our clients – cedant or brokers, to responsible team or person within 24 hours. You will look for opportunities within the core process to add new value of Swiss Re and external clients, and closely cooperate with our claims Ops colleagues. 

The Triage Team is responsible to index the incoming documents to support other claims colleagues in the value chain of the company in prioritization, with the main common goal of supporting our clients by timely payments of claims and keeping the reserves on accurate level. All the incoming claims documents, from first advice of the claim until the last (closing) advice go through our hands. 

The position-holder is required to follow a set framework of processes and guidelines and continuously improve the situation in order to meet the agreed set of KPI targets. We have to look for opportunities within the core process to create value (qualitative and quantitative) for Swiss Re and external clients. The role also includes many interactions with our internal functions and regular interactions with external clients (via emails and calls). 

KEY ACCOUNTABILITIES 

• Triaging Reinsurance Claims and Technical Accounting documents in accordance to the standard operating procedures. (Simple to Complex). 

• The jobholder is accountable for effectively handling transactions for the allocated portfolios/end to end processing and ensuring result are met (quality output within turnaround times defined) through adequate understanding of reinsurance accounting principles. One of the key activities is to ensure that payments received from clients (premiums) and payments made to them (Claims) reconcile against the cash receivables. The client management aspects of this role would require you to resolve issues with respect to contractual terms, measurable actions, etc. Improvising while working within a defined framework of policies and processes is key to the role. 

• Responsible for associating the Claim process documents with the firsthand information to enable Claims examiners for further processing. 

• Identifying the type of documents. 

• Identifying the reinsurance contracts OR existing claims using business applications. 

• Maintain accuracy and quality parameters as defined by the process. 

• Ensure adherence to process guidelines and also abide by special instructions set out by specific regions. 

• To meet the specified productivity target. 

• Perform other position related tasks as instructed by Line Manager. 

Other 

• Provide backup for roles in other teams. 

• Any other ad hoc tasks as required from time to time.