Claims end-end– Deputy Manager – Pune/Mumbai/Bangalore
PuneFull Time
GENERAL LIABILITIES
PROPERTY & CASUALTY
IRDAI
UNDERWRITING GUIDELINES
INSURANCE CLAIMS
Job description
Job title: Claims end-end – Deputy Manager
Job Location: Pune/Mumbai/Bangalore
Candidate Specification & Job Description:
Excellent
communication skills with 8+ years of work experience.
Individual
contributor roles are acceptable.
Strong
knowledge of insurance claims (General Liabilities, Auto/Motor & Direct).
Candidates
with experience in Subrogation total loss, admin team, Property & Casualty,
or Health Insurance are not preferred.
Review and validate claims submissions for completeness and
eligibility.
Capture claim details accurately in the system, ensuring
proper documentation.
Coordinate with policyholders, agents, or brokers to obtain
necessary supporting documents.
Evaluate claim merits based on policy terms and conditions.
Liaise with surveyors, investigators, hospitals, or repair
vendors for fact verification.
Identify potential cases of fraud or misrepresentation and
escalate appropriately.
Determine liability and admissibility in line with
underwriting guidelines.
Calculate claim amounts, applying sub-limits, deductibles,
and exclusions where applicable.
Ensure adherence to internal SLAs and regulatory timelines.
Prepare claim settlement letters and process payments.
Communicate claim decisions (approval/rejection) with
clarity and empathy.
Maintain complete documentation for audit and compliance
purposes.
Act as a single point of contact for claim-related queries
and escalations.
Collaborate with internal teams (Underwriting, Legal,
Finance, Customer Service) for resolution.
Drive customer satisfaction through proactive updates and
transparent communication.
Ensure adherence to IRDAI and internal compliance policies.
Identify process gaps and contribute to claims automation
and digitization initiatives.
Analyze claims trends to recommend improvements in risk
management and policy design.
Flexible with Shifts
Skills Required
Claims end-end– Deputy Manager – Pune/Mumbai/Bangalore
ITES/BPO/KPO
B.Com
Full Time, Permanent
Key Skills
- GENERAL LIABILITIES
- PROPERTY & CASUALTY
- IRDAI
- UNDERWRITING GUIDELINES
- INSURANCE CLAIMS
Other Information
GO/JC/1447/2025
Hemalatha
