Head of Insurance Operations & Compliance

Insurance Operations & Compliance Manager & Founder Mentor

Industry: Insurance (Health / Motor / Life / General – flexible)

Experience: 5–7 Years

Engagement: Full-time

Location: India (Remote)

Start Date: Immediate

🎯 Key Responsibilities

• Set up and manage day-to-day

  insurance operations

  (policy issuance, endorsements, renewals, cancellations, claims coordination, etc.)
• Draft, review, and maintain

  policy wordings, proposal forms, schedules, SLAs, broker agreements, and basic reinsurance contracts

• Build and manage the policy administration process

  – from proposal to policy issuance, documentation, and post-issuance servicing
• Coordinate with

  insurers, reinsurers, brokers, TPAs, aggregators, corporate clients, and individual clients

• Design and implement SOPs, workflows, and basic KPIs

  for enquiries, quotations, underwriting referrals, policy issuance, endorsements, claims handling, and collections
• Ensure

  regulatory compliance

  with local insurance regulations (e.g. IRDAI / local regulator), including documentation standards, onboarding KYC, and reporting requirements
• Implement basic

  internal controls

  to avoid mis-selling, unauthorized discounts, policy backdating, and manipulation of premiums or claims
• Support / guide in

  product development

  : features, exclusions, premium structure, and documentation for new products or schemes
• Set up simple

  MI / reporting dashboards

  for:
• Policies issued, endorsements, renewals, and lapses
• Premium written vs. earned, claims ratio, and basic profitability per product/client
• Collections, outstanding premiums, and credit control
• Coordinate with

  accounts/finance

  for premium collections, reconciliations with insurers, commissions, and TDS/GST/VAT-related aspects
• Assist in

  vendor and partner onboarding

  (TPAs, brokers, agents, tech vendors) with proper documentation and checks
• Support

  future team building

  (policy admin, claims desk, customer support, maybe sales support) as the business grows

Required Expertise

• 5–7 years of experience in

  insurance operations / underwriting / policy administration / claims

  with an insurer, broker, TPA, or large corporate with in-house insurance desk
• Strong working knowledge of at least one or more lines:

• Health insurance

  (retail/group)

• Motor insurance

  (retail/fleet)

• General insurance

  (property, liability, marine, etc.)
• Life insurance exposure is a plus but not mandatory
• Solid understanding of:

• Policy structures, coverage, exclusions, deductibles, co-pay, sub-limits, waiting periods

• Underwriting guidelines

  and when to seek approvals/referrals

• Claims processes

  – FNOL, documentation, assessment, repudiation, approvals, and TATs

• Local insurance regulations

  and basic compliance requirements
• Experience in

  end-to-end case handling

  from proposal/quote to policy issuance and claims coordination
• Prior exposure to

  corporate/group policies

  and

  international or cross-border clients

  is a plus

Founder Mentoring Responsibilities

Train and mentor the founder on:

• Basic insurance fundamentals

  – how products are structured and what really matters in coverage

• Pricing logic and premium structures

  – risk-based pricing, loadings, discounts, NCB, experience rating (for group)
• How

  claims ratios, loss ratios, and combined ratios

  affect pricing and negotiations with insurers

• How fraud, leakage, and misuse

  can happen in insurance:
• Fake claims / inflated claims
• Misuse of group policies
• Unauthorized discounts / off-the-book deals
• Manipulation of backdating, endorsements, or coverage details
• Designing

  controls to prevent fraud, margin leakage, and mis-selling

• How to read and compare policy wordings

  and find hidden gaps or exclusions
• Help the founder to

  shadow calls and emails

  with insurers, brokers, and clients to understand the business practically

Technical & Management Skills

• Comfortable using

  insurance core systems / broker portals / policy admin systems / CRM

• Strong MS Excel / Google Sheets skills for rate comparisons, premium calculations, and simple dashboards

• Ability to design simple but robust SOPs and checklists

  for:
• New policy issuance
• Endorsements and renewals
• Claims intake and documentation
• Compliance and documentation checks
• Good understanding of

  credit risk

  related to premiums, collection cycles, and insurer payment terms
• Strong

  analytical mindset

  for product comparison, margin protection, and basic portfolio performance tracking
• Familiarity with

  compliance, KYC/AML basics, and regulatory documentation standards

Ideal Candidate Traits

• Operator + teacher mindset

  – can run operations independently while patiently explaining concepts to a non-insurance founder
• Comfortable letting the founder

  shadow calls, negotiations, and day-to-day operations

• Hands-on, detail-oriented, and comfortable working in a zero-structure, startup environment

• Transparent and ethical

  , with a strong focus on clean deals, documentation, and regulatory compliance
• Strong ownership mentality – treats the business as their own and is willing to

  build the foundation for future scale