DM-Claims (Thane)

About the Role

We are seeking a highly motivated and detail-oriented Deputy Manager – Claims (DM-Claims) to join our dynamic team based in Thane, India. This is an excellent opportunity for an experienced claims professional to take ownership of end-to-end claims management within a fast-paced insurance or financial services environment. The ideal candidate will bring strong analytical capabilities, sound knowledge of claims processing frameworks, and a commitment to delivering exceptional service to both internal and external stakeholders. You will play a pivotal role in ensuring timely, accurate, and fair settlement of claims while maintaining strict compliance with regulatory guidelines and organizational policies.

Key Responsibilities

• Oversee and manage the end-to-end claims processing lifecycle, including registration, investigation, assessment, and final settlement, ensuring adherence to defined turnaround times and quality benchmarks.
• Review and evaluate complex or high-value claims, conducting thorough due diligence to detect fraudulent activity, misrepresentation, or discrepancies in documentation submitted by claimants.
• Coordinate effectively with surveyors, investigators, legal teams, and third-party service providers to gather relevant information and facilitate prompt claims resolution.
• Ensure full compliance with IRDAI regulations, internal underwriting guidelines, and applicable legal frameworks governing claims management in India.
• Prepare and present MIS reports, claims dashboards, and performance analytics to senior management, highlighting trends, outstanding liabilities, and areas requiring process improvement.
• Mentor and guide junior claims executives, providing technical support, training, and performance feedback to strengthen overall team capability and productivity.
• Liaise with customers, brokers, and corporate clients to communicate claims decisions clearly and professionally, managing escalations with empathy and efficiency.
• Identify gaps in existing claims processes and proactively recommend process improvements and automation opportunities to enhance operational efficiency and reduce claim cycle time.

Requirements

• Bachelor's degree in Commerce, Business Administration, Insurance, or a related field; professional certifications such as AIII or FIII from the Insurance Institute of India will be an added advantage.
• Minimum 5 to 8 years of progressive experience in claims management within the general insurance, health insurance, or life insurance sector, with at least 2 years in a supervisory or deputy manager capacity.
• In-depth knowledge of insurance products, policy terms and conditions, claims procedures, and relevant IRDAI regulations and circulars.
• Strong investigative and analytical skills with the ability to assess complex claims scenarios, interpret policy language, and make sound, defensible decisions under pressure.
• Proficiency in claims management systems and MS Office tools, particularly Excel and PowerPoint, with experience in generating and interpreting data-driven reports.
• Excellent verbal and written communication skills in English and Hindi, with a demonstrated ability to manage stakeholder relationships at multiple organizational levels.
• High level of integrity, attention to detail, and a customer-first mindset, with the ability to balance empathy for claimants with strict adherence to policy and compliance requirements.

Benefits

• Competitive compensation package with performance-linked incentives and annual merit-based increments aligned with industry standards.
• Comprehensive health insurance coverage for employees and immediate family members, along with group term life and personal accident insurance.
• Structured learning and development programs, including sponsored professional certifications, leadership training, and industry workshops to support continuous career growth.
• A collaborative and inclusive work culture that values employee well-being, offering flexible work arrangements, paid leave policies, and wellness initiatives.
• Clear and transparent career progression pathways within a growing organization, with opportunities to advance into senior management roles across claims, operations, or product verticals.