DM-Claims (Thane)

About the Role

We are seeking a highly motivated and detail-oriented Deputy Manager – Claims (DM-Claims) to join our growing team in Thane, India. In this pivotal role, you will be responsible for overseeing and managing the end-to-end claims process, ensuring timely resolution, regulatory compliance, and an exceptional customer experience. The ideal candidate will bring strong analytical capabilities, a deep understanding of insurance or financial claims operations, and the ability to lead cross-functional teams in a fast-paced environment. This is an excellent opportunity for a driven professional looking to make a meaningful impact within a reputable organization committed to operational excellence and customer satisfaction.

Key Responsibilities

• Manage and supervise the complete claims lifecycle, from initial registration and investigation through to final settlement, ensuring accuracy and adherence to defined turnaround times.
• Review, assess, and authorize claims within delegated authority limits while ensuring compliance with internal policies, regulatory guidelines, and industry best practices.
• Coordinate with internal departments including underwriting, legal, finance, and customer service to facilitate smooth and efficient claims processing.
• Identify and investigate potentially fraudulent or suspicious claims, escalating cases to the appropriate teams and implementing preventive measures where necessary.
• Monitor claims data and generate comprehensive reports for senior management, highlighting trends, bottlenecks, and areas requiring process improvement.
• Mentor, train, and guide junior claims executives and associates, fostering a culture of continuous learning and professional development within the team.
• Engage directly with customers, surveyors, third-party administrators, and legal representatives to resolve complex or disputed claims in a fair and transparent manner.
• Ensure all claims documentation, records, and correspondence are maintained accurately and in compliance with audit and regulatory requirements.

Requirements

• Education: Bachelor's degree in Commerce, Business Administration, Finance, or a related field; a postgraduate qualification or professional certification in insurance (such as FIII or AIII) will be an added advantage.
• Experience: Minimum of 4–7 years of relevant experience in claims management within the insurance, banking, or financial services sector.
• Strong knowledge of claims procedures, policy wordings, regulatory frameworks, and IRDAI guidelines applicable to the Indian insurance market.
• Excellent analytical and problem-solving skills with the ability to interpret complex data and make sound, evidence-based decisions under pressure.
• Proficiency in claims management software and MS Office applications, particularly Excel and PowerPoint, for reporting and data analysis purposes.
• Exceptional communication and interpersonal skills, with the ability to negotiate effectively and manage stakeholder relationships at multiple levels.
• Demonstrated leadership ability with prior experience managing or mentoring a team in a target-driven operational environment.

Benefits

• Competitive Compensation: Attractive salary package aligned with industry standards, complemented by performance-based incentives and annual bonuses.
• Health and Wellness: Comprehensive medical insurance coverage for employees and their immediate family members, along with access to employee wellness programs.
• Career Growth: Structured career development pathways, sponsorship for professional certifications, and regular training programs to support continuous professional growth.
• Work-Life Balance: Flexible working arrangements and generous leave policies designed to support employee well-being and productivity.
• Collaborative Culture: A dynamic, inclusive, and supportive work environment located in the thriving business hub of Thane, with easy access to transportation and modern office facilities.