Claims Manager

Key Responsibilities:

1. Claims Processing and Resolution:

Oversee end-to-end claims validation, approval, and settlement processes.

Ensure claims related to stock returns, pricing errors, incentives, and disputes are

addressed efficiently.

Implement strong reconciliation mechanisms to minimize financial losses and

discrepancies.

Drive automation in claims processing using ERP (SAP, Oracle, Tally, etc.).

2. Stakeholder Coordination and Dispute Management:

claim resolution.

Address high-value disputes and critical escalations from distributors, hospitals, and

trade partners.

Work closely with vendors and internal audit teams to improve claim validation

accuracy.

3. Reporting and Process Optimization:

Monitor claims trends, aging analysis, and settlement TATs to identify process

gaps.

Develop and present MIS reports on claims exposure, financial impact, and

outstanding liabilities.

Implement cost-saving measures and improve working capital efficiency through

effective claim handling.

Key Skills and Competencies:

• Expertise in Pharma Claims and Commercial Finance (Sales Returns, Trade Discounts,
• Expiry & Damage Claims)
• Strong Analytical and Problem-Solving Skills for resolving disputes and optimizing
• claims processes
• Proficiency in ERP and Finance Systems (SAP, Tally, Oracle, or similar)
• Understanding of GST, TDS, and Pharma Regulatory Requirements
• Leadership and Stakeholder Management to coordinate across multiple teams
• Process Automation and Data-Driven Decision Making
• Very Good Excel Skills