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 pivotal role, you will be responsible for overseeing the end-to-end claims management process, ensuring timely and accurate settlement of claims in accordance with company policies and regulatory guidelines. The ideal candidate will bring a strong background in insurance or financial services, exceptional analytical capabilities, and a proven ability to lead cross-functional teams in a fast-paced environment. This is an excellent opportunity for a results-driven professional looking to advance their career within a dynamic and supportive organization.

Key Responsibilities

• Manage and supervise the complete claims lifecycle, including registration, investigation, assessment, processing, and final settlement, ensuring adherence to defined turnaround times and quality benchmarks.
• Review complex and high-value claims with meticulous attention to detail, conducting thorough analysis to detect fraudulent activity, misrepresentation, or policy violations before authorizing settlements.
• Coordinate closely with internal departments such as underwriting, legal, finance, and customer service to facilitate smooth claims resolution and improve overall operational efficiency.
• Build and maintain strong relationships with surveyors, third-party administrators (TPAs), hospitals, garages, and other external stakeholders to ensure seamless claims processing and dispute resolution.
• Monitor claims data and generate periodic MIS reports for senior management, identifying trends, bottlenecks, and areas for process improvement to reduce claims leakage and operational costs.
• Ensure full compliance with IRDAI regulations, internal audit requirements, and company standard operating procedures throughout all stages of the claims process.
• Mentor and guide junior claims executives, providing training, performance feedback, and technical support to build a high-performing and knowledgeable claims team.
• Handle escalated customer complaints and grievances related to claims, ensuring prompt and empathetic resolution while upholding the organization's service standards and reputation.

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 Associate from III) will be an added advantage.
• Experience: Minimum 4–7 years of relevant experience in claims management within the insurance or financial services industry, with at least 1–2 years in a supervisory or team-lead capacity.
• In-depth knowledge of motor, health, property, or general insurance claims processes, documentation requirements, and applicable regulatory frameworks in India.
• Strong analytical and problem-solving skills with the ability to interpret complex policy documents, medical reports, survey findings, and legal correspondence accurately.
• Proficiency in claims management software, MS Office Suite (Excel, Word, PowerPoint), and familiarity with MIS reporting tools and dashboards.
• Excellent communication and interpersonal skills in English and Hindi, with the ability to effectively liaise with customers, vendors, and internal stakeholders at all levels.
• High level of integrity, professional judgment, and the ability to manage confidential information with discretion and accountability.

Benefits

• Competitive Compensation: Attractive salary package commensurate with experience, along with performance-linked incentives and annual appraisals.
• Health and Wellness: Comprehensive medical insurance coverage for employees and their dependents, along with access to wellness programs and employee assistance initiatives.
• Career Development: Structured learning and development programs, sponsorship for professional certifications, and clear internal growth pathways to senior management roles.
• Work-Life Balance: Flexible working arrangements, paid leave entitlements, and a collaborative workplace culture that values employee well-being.
• Retirement Benefits: Provident Fund (PF), Gratuity, and other statutory benefits as per Indian labor regulations, ensuring long-term financial security for all employees.