Assistant Manager – Claims

A leading life insurance company is seeking a dedicated Assistant Manager – Claims to join its operations team in Mumbai. In this pivotal role, you will lead the assessment and management of end-to-end claim settlements and repudiations. Furthermore, you will handle a diverse portfolio including Life and Group claims while ensuring full regulatory compliance. Consequently, this position is vital for maintaining customer trust through a sensitive and centric approach to death claim processing.

The Assistant Manager – Claims must coordinate with reinsurers and sales teams to close claims within established timelines. Additionally, you will oversee the maintenance of accurate records and provide daily guidance on claims philosophy and audit procedures. Therefore, the company is looking for a professional with 5 to 7 years of insurance industry experience. If you have strong decision-making skills and knowledge of Life Asia systems, this Assistant Manager – Claims role offers a premier career path.

Key Responsibilities

• Manage the end-to-end assessment and settlement of Life and Group insurance claims.
• Oversee daily claim transactions and provide the team with guidance on claims philosophy and regulations.
• Coordinate with reinsurers, sales teams, and customers to ensure the timely closure of claim files.
• Maintain complete and accurate claim management records in accordance with audit procedures.
• Ensure that all daily claim deliverables and decisions are met within prescribed SLAs.
• Adopt a customer-centric approach, particularly when handling sensitive death claim cases.
• Utilize Life Asia and Group Asia systems to manage workflows and technical claims data.
• Identify and highlight potential risks or fraudulent activities during the assessment process.
• Monitor team performance against key metrics like speed, accuracy, and customer satisfaction.
• Support the Manager in implementing process improvements for the broader claims function.

Requirements and Qualifications

• Graduate degree with 5 to 7 years of progressively responsible experience in the insurance industry.
• Strong domain knowledge of Life Insurance claims and the underlying regulatory landscape.
• Proficiency in using MS Excel, MIS reporting tools, and insurance workflows.
• Experience or working knowledge of Life Asia and Group Asia systems is highly preferred.
• Exceptional decision-making skills and a thorough understanding of the market.
• Strong interpersonal and communication skills for dealing with internal and external stakeholders.