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 based in Thane, India. In this critical role, you will be responsible for overseeing end-to-end claims processing operations, ensuring timely and accurate settlement of claims in accordance with company policies and regulatory guidelines. The ideal candidate will bring strong analytical capabilities, a customer-first mindset, and proven experience in claims management within the insurance or financial services sector. This is an excellent opportunity for a driven professional looking to advance their career in a dynamic and fast-paced environment.

Key Responsibilities

• Manage and supervise the complete claims lifecycle, from initial registration and investigation through to final settlement and closure, ensuring adherence to defined turnaround times.
• Review, analyze, and adjudicate complex claims cases, applying sound judgment to determine liability, coverage, and appropriate settlement amounts in line with policy terms and conditions.
• Coordinate with internal departments including underwriting, legal, and finance teams to facilitate smooth and accurate claims resolution.
• Liaise with external stakeholders such as surveyors, third-party administrators, hospitals, and legal representatives to gather necessary documentation and expedite claims processing.
• Monitor claims data and generate detailed reports to identify trends, flag potential fraud, and recommend process improvements to senior management.
• Ensure strict compliance with IRDAI regulations, internal audit requirements, and company standard operating procedures throughout all claims activities.
• Mentor and guide junior claims executives, providing training, performance feedback, and support to build a high-performing team.
• Handle escalated customer grievances with professionalism and empathy, working proactively to deliver satisfactory resolutions and maintain high levels of customer satisfaction.

Requirements

• Education: Bachelor's degree in Commerce, Business Administration, Finance, or a related field; a postgraduate qualification or professional certification in Insurance (such as Licentiate or Fellowship from III) is strongly preferred.
• Experience: Minimum of 4–6 years of progressive experience in claims management within the general insurance, health insurance, or life insurance industry.
• Demonstrated knowledge of insurance products, policy wordings, claims regulations, and IRDAI guidelines applicable to the Indian market.
• Strong analytical and problem-solving skills with the ability to assess complex claims scenarios, interpret data accurately, and make sound decisions under pressure.
• Excellent written and verbal communication skills in English and Hindi, with the ability to interact effectively with customers, vendors, and senior stakeholders.
• Proficiency in claims management software, MS Office Suite (Excel, Word, PowerPoint), and familiarity with CRM and ERP platforms.
• High level of integrity, attention to detail, and commitment to maintaining confidentiality and ethical standards in all claims-related activities.

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.
• Professional Development: Sponsored training programs, industry certifications, and clear career advancement pathways within a rapidly growing organization.
• Work-Life Balance: Structured work hours, paid leave entitlements, and a supportive workplace culture that values employee well-being.
• Location Advantage: Conveniently located office in Thane with excellent connectivity to Mumbai and surrounding areas, along with transportation allowances where applicable.