Claims end-end� Deputy Manager � Pune/Mumbai/Bangalore - GO/JC/1447/2025

Job title:

Claims end-end � Deputy Manager

Job Location:

Pune/Mumbai/BangaloreExcellent communication skills with 8+ years of work experience.Individual contributor roles are acceptable.Strong knowledge of insurance claims (General Liabilities, Auto/Motor & Direct).Candidates with experience in Subrogation total loss, admin team, Property & Casualty, or Health Insurance are not preferred.Review and validate claims submissions for completeness and eligibility.Capture claim details accurately in the system, ensuring proper documentation.Coordinate with policyholders, agents, or brokers to obtain necessary supporting documents.Evaluate claim merits based on policy terms and conditions.Liaise with surveyors, investigators, hospitals, or repair vendors for fact verification.Identify potential cases of fraud or misrepresentation and escalate appropriately.Determine liability and admissibility in line with underwriting guidelines.Calculate claim amounts, applying sub-limits, deductibles, and exclusions where applicable.Ensure adherence to internal SLAs and regulatory timelines.Prepare claim settlement letters and process payments.Communicate claim decisions (approval/rejection) with clarity and empathy.Maintain complete documentation for audit and compliance purposes.Act as a single point of contact for claim-related queries and escalations.Collaborate with internal teams (Underwriting, Legal, Finance, Customer Service) for resolution.Drive customer satisfaction through proactive updates and transparent communication.Ensure adherence to IRDAI and internal compliance policies.Identify process gaps and contribute to claims automation and digitization initiatives.Analyze claims trends to recommend improvements in risk management and policy design.Flexible with Shifts

Skills Required

RoleClaims end-end� Deputy Manager � Pune/Mumbai/BangaloreIndustry TypeITES/BPO/KPOFunctional AreaRequired Education B.ComEmployment TypeFull Time, PermanentKey Skills

• GENERAL LIABILITIES
• PROPERTY & CASUALTY
• IRDAI
• UNDERWRITING GUIDELINES
• INSURANCE CLAIMS
  

Other Information
Job CodeGO/JC/1447/2025Recruiter NameHemalatha