Our client, a prominent insurance provider, is seeking an experienced Senior Claims Adjuster to join their dedicated team in **Jaipur, Rajasthan, IN**. This vital role focuses on the thorough investigation, evaluation, and resolution of complex and high-value insurance claims across various lines of business. The ideal candidate will possess exceptional analytical skills, a keen eye for detail, and a deep understanding of insurance policies, claims procedures, and relevant legal frameworks. You will be responsible for managing a caseload of intricate claims, conducting interviews, gathering evidence, negotiating settlements, and ensuring fair and timely claim disposition while upholding the company's commitment to customer service and integrity. This position requires strong decision-making abilities and the capacity to handle challenging situations with professionalism and empathy.

Key Responsibilities:

Investigate, evaluate, and manage complex insurance claims from initiation to closure. Thoroughly review policy coverage, identifying applicable terms, conditions, and exclusions. Conduct detailed fact-finding, including interviewing claimants, witnesses, and relevant parties; and gathering necessary documentation and evidence. Analyze claim data, reports, and supporting documents to determine liability and damages. Negotiate fair and equitable settlements with claimants, legal representatives, and other involved parties. Prepare comprehensive claim reports, documenting all findings, actions taken, and settlement recommendations. Ensure compliance with all company claims handling procedures, regulatory requirements, and industry best practices. Collaborate with legal counsel, medical experts, and other third-party service providers as needed. Identify potential fraudulent claims and escalate for further investigation. Provide excellent customer service to policyholders throughout the claims process. Mentor and support junior claims adjusters, providing guidance and expertise.

Qualifications

Bachelor's degree in Business Administration, Law, Finance, or a related field. A minimum of 6 years of progressive experience in claims adjusting, with a proven track record in handling complex claims. In-depth knowledge of insurance policies, claims investigation techniques, and settlement negotiations. Strong understanding of relevant legal principles and regulatory requirements governing insurance claims. Excellent analytical, problem-solving, and critical thinking skills. Exceptional negotiation, communication, and interpersonal skills. Ability to work independently, manage time effectively, and prioritize a demanding workload. Proficiency in claims management software and standard office applications. Relevant professional certifications or licenses in claims adjusting are highly desirable. This role is based in **Jaipur, Rajasthan, IN**, and requires regular on-site presence.

This is a challenging and rewarding opportunity for a seasoned claims professional to contribute significantly to a reputable insurance organization. If you are dedicated to fairness, accuracy, and exceptional service, we encourage you to apply.