AVP- Insurance Operations- Brokerage

As an Assistant Vice President in Insurance Operations (Brokerage) based in Mohali, you will be responsible for overseeing all post-sales operations, including claims coordination, grievance handling, fraud screening, and legal follow-ups across multiple insurers. Your role will involve acting as a crucial liaison between clients, insurers, hospitals, and internal teams to ensure smooth servicing, timely resolutions, and compliance with policy terms. The ideal candidate for this role will possess in-depth insurance knowledge, strong stakeholder management skills, and a passion for operational efficiency. Your key responsibilities will include managing the end-to-end claim process across insurers, acting as a liaison between clients and insurers, tracking claims status, proactively resolving delays or issues, maintaining a centralized claims tracker, and ensuring clear and timely client communication. Additionally, you will monitor claims for potential fraud red flags, coordinate with investigation agencies, handle client grievances received through various channels, manage legal notices and health insurance litigation, assist clients in Ombudsman or IRDAI escalations, support hospital network activities, provide internal stakeholder support, and help optimize operational SOPs. To qualify for this role, you should hold a Bachelor's degree in Insurance, Business Administration, or a related field (MBA preferred) and have at least 10 years of experience in insurance operations, with a minimum of 3 years in a broking environment. You should have a deep understanding of general and health insurance processes, IRDAI regulations, and claim lifecycle management. Strong communication, negotiation, and problem-solving skills are essential, along with a client-centric approach and a commitment to service excellence.,