Sr. Manager ( TP Claims ) | FINJO N1018

8 years

0 Lacs

Posted:12 hours ago| Platform: Linkedin logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Key Responsibilities


. Monitor KPIs and ensure service level agreements (SLAs) and regulatory timelines are met with TAT.

. Data management for TP claim and validations on regular basis, coordination with internal stakeholders

. Ensuring Quality Checks for all cases are completed within the specified turnaround time (TAT), maintaining adherence to deadlines and quality standards

. Publishing weekly dashboard to respective LOB’s for the QC done cases and sharing list of cases to rework • Ensure timely follow-up on rework cases according to

. Oversee thorough and efficient investigation of third-party motor claims (including property damage, bodily injury, and liability assessments)

. Ensure the accurate application of liability, indemnity, and policy coverage evaluations.

. Direct complex investigations, including staged accidents, organized fraud, and exaggerated claims.

. Fraud Detection & Prevention, Collaborate with Special Investigation Units (SIU), legal teams, and external stakeholders on suspicious and fraudulent claims.

. Implement anti-fraud strategies, data analytics, and red flag detection procedures.

. Liaise with third-party service providers (law firms, adjusters, garages), internal departments, and regulatory bodies through RTI, appeal


Key Responsibilities


. Ensure timely and professional communication with claimants, brokers, and third-party representatives.


Key Requirements:

. Bachelor’s degree in insurance, law, business administration, or a related field.

. Minimum 8 years of experience in motor claims, with at least 2–3 years in a managerial/supervisory capacity.


Technical Skills:

. In-depth understanding of third-party motor claims handling processes and insurance principles.

. Strong knowledge of liability laws, claims fraud indicators, and legal procedures.

. Proficient in claims management systems and MS Office tools.

. Excellent analytical, investigative, and problem-solving abilities.

. Familiarity with digital investigation tools available in market

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