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. This is a critical role within our insurance operations division, responsible for overseeing end-to-end claims management processes and ensuring timely, accurate, and fair settlement of claims. The ideal candidate will bring strong analytical capabilities, a deep understanding of claims procedures, and the ability to lead a team while maintaining the highest standards of customer service and regulatory compliance. This position offers an excellent opportunity to contribute meaningfully to an organization that values integrity, efficiency, and professional growth.

Key Responsibilities

• Manage and supervise the complete claims lifecycle, including registration, investigation, assessment, processing, and final settlement in accordance with company policies and regulatory guidelines.
• Review and evaluate complex or high-value claims to determine liability, coverage applicability, and appropriate settlement amounts, ensuring decisions are well-documented and justified.
• Coordinate with internal departments including underwriting, legal, finance, and customer service to facilitate smooth and efficient claims resolution.
• Liaise with external stakeholders such as surveyors, investigators, third-party administrators, and legal counsel to gather necessary documentation and expedite claim closures.
• Monitor claims data and generate periodic MIS reports for senior management, identifying trends, bottlenecks, and areas requiring process improvement.
• Ensure strict adherence to turnaround time (TAT) benchmarks and service level agreements (SLAs), proactively addressing escalations and customer grievances in a professional manner.
• Train, mentor, and guide junior claims executives to build team capability and maintain consistent quality standards across all claim handling activities.
• Stay updated on industry regulations, IRDAI guidelines, and best practices to ensure full compliance and mitigate risk exposure for the organization.

Requirements

• Education: Bachelor's degree in Commerce, Business Administration, Finance, or a related field; a postgraduate qualification or insurance certifications such as Licentiate or Associate from the Insurance Institute of India will be an added advantage.
• Experience: Minimum 4–7 years of relevant experience in claims management within the general insurance, health insurance, or life insurance sector.
• Demonstrated knowledge of claims assessment procedures, policy terms and conditions, and IRDAI regulatory frameworks applicable to the Indian insurance market.
• Strong analytical and problem-solving skills with the ability to interpret complex policy documents, legal reports, and financial data accurately.
• Excellent communication skills in English and Hindi, with the ability to interact confidently with customers, vendors, and senior stakeholders.
• Proficiency in claims management software, MS Office applications, and data reporting tools; experience with insurance ERP systems is preferred.
• Proven ability to manage multiple priorities under pressure while maintaining accuracy, professionalism, and a customer-first approach.

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 the employee and immediate family members, including hospitalization and outpatient benefits.
• Professional Development: Access to structured training programs, industry certifications, and leadership development initiatives to support long-term career advancement.
• Work-Life Balance: Structured work hours, paid leave entitlements, and a supportive work environment that prioritizes employee well-being.
• Convenient Location: Office located in Thane, offering excellent connectivity via road and rail for professionals across the Mumbai Metropolitan Region.