AKSHAY HIREMATH
Motor Claim Analyst
Bangalore
Summary
Motor Insurance Professional with extensive experience in claims assessment, damage evaluation, and policy management. Proven expertise in analyzing accident claims, Adept at building strong relationships with clients, repair centers, and internal stakeholders. Skilled in fraud detection, cost negotiation. Known for attention to detail, problem-solving abilities, and delivering exceptional service in a fast-paced insurance environment.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Senior Associate
Go Digit General Insurance LTD
03.2022 - Current
- Review motor insurance claims submitted by policyholders, assessing documentation, evidence, and policy coverage to determine claim validity
- Analyze claim details, including accident reports, repair estimates, and medical records, to identify discrepancies, potential fraud, and coverage limitations
- Conduct thorough investigations into complex or disputed claims, gathering additional information from claimants, witnesses, and third-party experts as needed
- Collaborate with claims adjusters, legal counsel, and other stakeholders to resolve claim disputes, negotiate settlements, and ensure compliance with company policies and regulatory requirements
- Communicate claim review findings and recommendations to internal teams, including claims processors, underwriters, and management, to facilitate informed decision-making and claims resolution
- Maintain accurate records of claim review activities, documentation, and correspondence, ensuring confidentiality and data security
- Provide guidance and training to junior staff members on claim review processes, best practices, and regulatory compliance standards.
Executive Engineer
SBI General Insurance LTD
05.2018 - 03.2022
- Inspect vehicles involved in insurance claims to assess the extent of damage, determine repair costs, and verify coverage eligibility
- Conduct detailed examinations of vehicle components, including bodywork, mechanical systems, and electronics, to identify damages and necessary repairs
- Estimate repair costs using industry-standard pricing guides, labor rates, and market values, ensuring accuracy and compliance with company guidelines
- Document survey findings, including photographs, diagrams, and written reports, to support claim evaluations and facilitate claims processing
- Communicate with policyholders, repair shops, and insurance adjusters to discuss survey results, explain repair recommendations, and negotiate settlement agreements
- Collaborate with internal teams, such as claims processors and underwriters, to review survey reports, address discrepancies, and expedite claims resolution
Service Engineer
Bajaj Allianz General Insurance Company Ltd
08.2015 - 03.2018
- Vehicle Inspection:Conduct on-site inspections of damaged vehicles to assess the extent and nature of the damage.
Take photographs of the vehicle and damaged parts as evidence for claim processing.
- Damage Assessment:Identify the cause of the damage (accident, theft, natural disaster, etc.).
Differentiate between accident-related damage and pre-existing issues.
- Cost Estimation:Collaborate with repair shops or garages to obtain repair estimates.
Evaluate the reasonableness of repair costs and prepare cost estimates as per industry standards.
- Claim Documentation:Prepare and submit detailed survey reports with findings, including photographs, repair estimates, and recommendations.
Verify that all claim-related documents provided by the policyholder are complete and accurate.
- Customer Interaction:Communicate with policyholders to explain the survey process and gather additional information if needed.
Provide clarity on the claim settlement process and resolve basic queries.
Body shop Inspection
Shahwar Nissan Motives Pvt Ltd
07.2014 - 07.2015
Education
Diploma - Automobile Engg.
Automobile
Skills
Team Leadership
Certification
Motor Loss Assessment Training, SBI General Insurance
Awards
- Excellence Award, 10/01/16 - 03/31/17, Bajaj Allianz General Insurance Ltd
- Star Performer, 04/01/18 - 11/30/18, SBI General Insurance Ltd
- Spot Light, 07/01/22, 12/01/22, 10/01/23, Go-Digit Insurance Ltd
- Wall of Awesome-ness Award, Q3 2022-23, Go-Digit Insurance Ltd
Personal Information
- Date of Birth: 03/27/89
- Gender: Male
- Marital Status: Married
Accomplishments
Excellence Award - Oct 2016- March 2017 @ Bajaj Allianz general insurance Ltd
Star Performer in the period of April 2018- Nov 2018 @ SBI General Insurance Ltd
Wall of awesome-ness award for quarter 3, 2022-23 @ Go-Digit Insurance Ltd.
Timeline
Senior Associate
Go Digit General Insurance LTD
03.2022 - Current
Executive Engineer
SBI General Insurance LTD
05.2018 - 03.2022
Service Engineer
Bajaj Allianz General Insurance Company Ltd
08.2015 - 03.2018
Body shop Inspection
Shahwar Nissan Motives Pvt Ltd
07.2014 - 07.2015
Diploma - Automobile Engg.
Automobile
Similar Profiles
SATYAJEET KUMARSATYAJEET KUMAR
Associate Auto Claims at GO DIGIT GENERAL INSURANCE PVT LTDAssociate Auto Claims at GO DIGIT GENERAL INSURANCE PVT LTD
Maj Dr Kunal RawalMaj Dr Kunal Rawal
Associate Vice President at Go Digit General InsuranceAssociate Vice President at Go Digit General Insurance
POOJA PANWARPOOJA PANWAR
Associate Manager HR at Go Digit General Insurance LtdAssociate Manager HR at Go Digit General Insurance Ltd