Claims Manager - Health & Life Insurance

We are seeking an experienced and proactive Claims Manager to manage Health and Life insurance claims across all 17 branches. The role will have a strong focus on Health Insurance claims (both cashless and reimbursement) while also managing Life Insurance claims. The Claims Manager will act as the single point of contact for all claim-related matters, working closely with the Product team, Insurance Operations team, and insurance companies to ensure timely and smooth claim settlements.
Key Responsibilities1. Claims ManagementOversee end-to-end claims handling for Health (cashless and reimbursement) and Life Insurance.Ensure timely submission and processing of claim documentation.Liaise with insurers to expedite claims approvals and settlements.2. Coordination & CommunicationServe as the single point of contact for all internal and external stakeholders regarding claims.Coordinate with RMs, Partners, and clients to gather necessary claim documents and information.Work closely with the Product and Insurance Operations teams to resolve claim queries.3. Process ExcellenceMonitor claim progress and proactively follow up with insurers to avoid delays.Maintain and update claims MIS for accurate tracking and reporting at the company level.Identify process bottlenecks and recommend improvements for faster claim settlements.4. Compliance & QualityEnsure adherence to regulatory and company compliance requirements for claims.Maintain accurate and complete claim records.Key Skills & CompetenciesStrong knowledge of Health Insurance claim processes (cashless & reimbursement).Familiarity with Life Insurance claim processes.Excellent coordination and follow-up skills.Strong communication skills for engaging with clients, insurers, and internal teams.Ability to manage multiple claims across geographies and timelines.Detail-oriented with a process-driven approach.Experience & Qualifications4-7 years of experience in insurance claims management, preferably in Health Insurance.Graduate degree (MBA preferred but not mandatory).Prior experience in insurer, TPA, or insurance distribution setups will be an advantage.What We OfferCompetitive compensation.Opportunity to work with a fast-growing fintech in the wealth and insurance space.Collaborative and growth - focused work environment.