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 skills, a customer-first mindset, and a proven track record of managing complex claims processes efficiently and accurately. You will play a pivotal role in ensuring timely claim settlements, maintaining regulatory compliance, and driving continuous improvement across claims operations.

Key Responsibilities

• Oversee and manage the end-to-end claims lifecycle, including registration, investigation, assessment, processing, and settlement, ensuring adherence to established timelines and quality standards.
• Review and evaluate claim documents, medical reports, survey reports, and supporting evidence to make informed and fair claims decisions in line with policy terms and conditions.
• Coordinate with internal departments such as underwriting, legal, finance, and customer service, as well as external stakeholders including surveyors, investigators, and third-party administrators, to facilitate smooth claims resolution.
• Identify and flag potentially fraudulent or suspicious claims for further investigation, implementing appropriate risk mitigation measures to protect organizational interests.
• Monitor claims data and generate regular MIS reports, dashboards, and performance metrics to provide meaningful insights to senior management and support strategic decision-making.
• Ensure strict compliance with IRDAI regulations, company policies, and internal audit requirements throughout all claims handling procedures.
• Mentor and guide junior claims team members, conducting training sessions and performance reviews to build a high-performing and knowledgeable claims unit.
• Handle escalated or high-value claims with precision, engaging directly with customers and intermediaries to resolve disputes and deliver a superior claims experience.

Requirements

• Bachelor's degree in Commerce, Finance, Business Administration, or a related field; a postgraduate qualification or professional certification in insurance (such as Licentiate or Associate from III) will be an added advantage.
• Minimum 4–7 years of relevant experience in claims management within the general insurance, health insurance, or life insurance sector in India.
• Strong working knowledge of IRDAI guidelines, claims regulations, and insurance policy documentation.
• Excellent analytical and problem-solving abilities with a high level of attention to detail and the capacity to manage multiple claims simultaneously under tight deadlines.
• Proficiency in claims management software, MS Office Suite, and MIS reporting tools; familiarity with ERP or insurance core systems is desirable.
• Exceptional communication and interpersonal skills, with the ability to liaise effectively with customers, legal teams, and external agencies in a professional manner.
• Demonstrated leadership capabilities with experience in managing or mentoring a team in a structured corporate environment.

Benefits

• Competitive salary package with performance-linked incentives and annual appraisal cycles aligned with industry benchmarks.
• Comprehensive health insurance coverage for employees and their immediate family members, along with group life and personal accident insurance.
• Opportunities for professional development and career advancement through structured learning programs, certifications, and internal mobility across business functions.
• A collaborative and inclusive work culture that values integrity, innovation, and employee well-being, supported by modern office facilities in Thane's growing business district.
• Paid leave entitlements including annual leave, sick leave, and public holidays, along with flexible working arrangements subject to business requirements.