Job Overview
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Date PostedMay 14, 2025
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Location
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Expiration date--
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Experience5-10 Years
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GenderBoth
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Career LevelManager
Job Description
Designation : Claim Adjudicator/ Claim Reviewer
Exp : 5 to 9 yrs
Locations – Remote from India
Education / Qualification: – Graduate
Gender: Female/Male
Job Description
Claim Adjudicator for Managing Accidental Damage & Extended Warranty Device Claims
Position Title Claim Adjudicator – Accidental Damage Device Claims
Job Summary
We are seeking a detail-oriented and experienced Claim Adjudicator to join our team. The successful candidate will be responsible for managing and adjudicating claims related to accidental damage & extended warranty of devices, ensuring fair and accurate claim resolutions while maintaining compliance with company policies and industry regulations.
Key Responsibilities
Claims Processing:
- Review, evaluate, and adjudicate claims for accidental damage and extended warranty to devices in a timely and efficient manner.
- Determine the validity of claims by examining customer statement, supporting documents, including invoices, photos, and technical/repair reports.
- Understanding the various policy terms, conditions, exclusions is critical in adjudicating claims. These adjudicating decisions will need to be defended in consumer departments.
- Calculate claim & excess payments based on policy coverage, terms, and conditions.
Customer Interaction:
- Communicate with claimants to gather necessary information and clarify claim details.
- Provide claimants with updates on claim status and explain decisions in a clear and professional manner.
Collaboration:
- Work closely with the internal team to ensure seamless communication and resolution of claims.
- Liaise with repair centres and third-party vendors to verify repair costs and service quality
Experience
- Minimum of 3 years of experience in claims adjudication, preferably in the insurance or device protection industry.
- Experience with accidental damage & extended warranty claims is highly desirable.
Skills and Competencies
- Strong analytical and decision-making skills.
- Excellent written and verbal communication skills.
- Proficiency in claims management software and Microsoft Office Suite.
- Ability to handle multiple tasks and prioritize effectively in a fast-paced environment.
- High attention to detail and accuracy.
- Driving License holder will be given preference.
Working Conditions
- Remote work.
- Part time hours, with occasional need for extended hours during peak claim periods.
Candidates from Target Companies/Industries
- Indian Insurance Companies and Large Retailers in India handling device care insurance (Extended Warranty & Accidental Damage).
Office Timing : 9.30 to 6.00 PM
Working days : 6days, Mon-Sat
If Interested please share resume to mmehrconsultancy@yahoo.com
Regards
Shaila
MME