Shlok Ahuja

Estimate Processing

• Preparing the estimate for the clients by verifying the photos and giving the estimation on the claims amount. Basis the peril type being worked, identify the damage type (Wind Hail/ Water/ Physical Damage).
• Communicating with the customer/ Adjuster as per the process guidelines to understand, get additional information & estimate property damage virtually.
• Investigating and processing complex estimations as per the request received from stakeholders.
• Ensure the accuracy of the estimate’s pre-fill are at set standards to reduce re-work for adjusters and increase straight through processing.
• Managing, researching and resolves highly complex customer/ Adjuster communications, concerns & issues.
• Identify, recommend prioritize and execute on improvement opportunities that helps in streamline the process.

Bills Payments

• Verification of documents provided by our claimants & vendors for all claims.
• Analysis of claim documents submitted by vendors on pre specified guidelines and to figure out the discrepancies.
• Settlement of claims by issuing payments within Stipulated TAT.
• Work on the refunds for duplicate and over payments.
• Basis on the estimate amount issue payments to the insured.
• Audit claims processed by new joiners and mentoring for any queries.

Non-Process-Related Tasks

• Creating huddle boards, allocating claims, conducting technical reviews, and assisting peers in resolving queries.
• Conducting process training refreshers and error sessions for the team.
• Manage the escalations and updates with stakeholders and team members.
• Report issues when it comes to any IT related or any customer feedback.
• Assist leadership in any process improvement.
• Ability to meet customer expectations through expertise and skills like having core process knowledge – upstream and downstream.