Claims Specialist

Industry: General Insurance / Insurance Broking / Insurance Surveyor

Location: Mumbai

Experience: 12+ years

Reporting To: Business Head/Vertical Head

Role Summary

The role holder will lead the claims function across all Specialty lines of business, ensuring efficient, compliant, and client-centric claims handling. The role involves strategic overview, operational excellence, and stakeholder management to drive timely and fair claim settlements.

Key Responsibilities

Strategic Leadership

• Define and implement claims strategy aligned with business goals.
• Lead and mentor a team of claims professionals.

Claims Operations

• Oversee end-to-end claims lifecycle across Specialty Claims like BBB, Cyber, Cards, Specie, Professional Indemnity, CGL, Event Cancellation, Loss of Fees, Media and Affinity.
• Ensure timely documentation, coordination with clients, insurers, surveyors, and regular client updates.

Client & Stakeholder Management

• Act as escalation point for complex or high-value claims.
• Maintain strong relationships with insurers, surveyors, and clients.

Compliance & Governance

• Ensure adherence to IRDAI regulations and internal SOPs.
• Handle audits, regulatory reporting, and internal risk controls.

Process Improvement

• Drive automation, analytics, and process optimization.
• Implement feedback loops for continuous improvement.

Candidate Profile

Education: Graduate/Postgraduate (Insurance certifications like Associate/Fellow from Insurance Institute of India preferred).

Experience: Minimum 12 years in claims handling, preferably in Insurance broking, PSU/Private insurance company, Insurance Surveyors operations.

Skills:

• Strong leadership and communication.
• Deep understanding of commercial insurance products.
• Ability to manage high-pressure situations and multiple stakeholders.
• Should be able to train the team members and improve their skills.