AM Claims Approvals

Role Overview: As an Assistant Manager - Claims Approval (Repair) at our Indian consumer solutions company, you will play a crucial role in reviewing and approving repair claims to ensure minimal disruption for customers during product breakdowns. Your attention to detail and commitment to customer satisfaction will be key in this fast-paced and dynamic environment. Key Responsibilities: - Review and evaluate service estimates, repair reports, and supporting documents against policy Terms & Conditions. - Approve or reject claims based on plan eligibility, exclusions, and repair justification. - Maintain audit-ready documentation for all claims decisions. - Coordinate with Service Ops, Field Technicians, and Service Partners to seek clarifications, where needed. - Ensure adherence to internal SLA timelines for claim approvals. - Work with the Legal and Compliance teams for interpretation and implementation of policy clauses, if required. - Provide feedback to product and service teams on recurring claim patterns or loopholes in T&Cs. - Ensure high accuracy in claim decisioning to avoid customer escalations or disputes. - Support periodic internal audits, partner assessments, and RCA for declined or high-value claims. - Track key metrics like approval rate, turnaround time (TAT), and exception handling. - Train new team members and vendors on the approval process and compliance framework. Qualification Required: - Graduate in any discipline (Technical/Insurance/Commerce background preferred) - 4-6 years of experience in claims approval, insurance operations, or after-sales repair decisioning. - Strong understanding of insurance/reward protection plan clauses, including exclusions and coverage limits. - Familiarity with common consumer durable products (TV, AC, Refrigerator, etc.) and associated repair processes. - Good command over Excel; experience with ticketing systems or claims platforms is a plus. - Strong analytical and documentation skills. - Detail-oriented with high accountability for judgment-based decisions. - Good verbal and written communication skills. - Ability to manage workload under pressure and meet tight SLAs. Additional Details (if present): The company, founded in 2011, partners with various brands to provide services through its app, including repair coordination, real-time claim tracking, and digital invoice storage, aiming to simplify managing warranties and everyday losses.,