Claims end-end - Deputy Manager

• Excellent 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.

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