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. In this pivotal role, you will be responsible for overseeing end-to-end claims management processes within the insurance or financial services domain. You will work closely with cross-functional teams to ensure timely, accurate, and fair settlement of claims while maintaining strict compliance with regulatory guidelines and internal policies. This is an excellent opportunity for a driven professional looking to advance their career in a fast-paced, growth-oriented environment.

Key Responsibilities

• Manage and supervise the complete claims lifecycle, including registration, investigation, assessment, processing, and final settlement, ensuring adherence to defined turnaround times.
• Review and analyze complex or high-value claims to determine liability, coverage applicability, and appropriate settlement amounts in line with policy terms and conditions.
• Coordinate with internal departments such as underwriting, legal, finance, and operations to facilitate smooth and efficient claims resolution.
• Build and maintain strong relationships with surveyors, third-party administrators (TPAs), hospitals, garages, and other external stakeholders to streamline the claims process.
• Monitor claims data and generate regular MIS reports to track performance metrics, identify trends, and recommend process improvements to senior management.
• Ensure full compliance with IRDAI regulations, company policies, and standard operating procedures throughout the claims handling process.
• Handle customer escalations professionally and empathetically, providing timely resolutions to complaints and maintaining high levels of customer satisfaction.
• Train, mentor, and guide junior claims executives to enhance team productivity, accuracy, and overall service quality.

Requirements

• Education: Bachelor's degree in Commerce, Business Administration, Finance, or a related field; a postgraduate qualification or professional certification in insurance (such as FIII or AIII from III) 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.
• Strong working knowledge of insurance products, policy wordings, claims procedures, and applicable regulatory frameworks including IRDAI guidelines.
• Excellent analytical and problem-solving skills with the ability to assess complex claims situations and make sound, data-driven decisions under pressure.
• Proficiency in claims management software, MS Office applications, and MIS reporting tools.
• Exceptional communication and interpersonal skills with the ability to interact effectively with customers, external partners, and internal stakeholders at all levels.
• High level of integrity, attention to detail, and a customer-first mindset with the ability to handle sensitive situations with professionalism and discretion.

Benefits

• Competitive Compensation: We offer an attractive salary package commensurate with your experience and qualifications, along with performance-based incentives and annual bonuses.
• Health and Wellness: Comprehensive medical insurance coverage for you and your dependents, including hospitalization, outpatient care, and wellness programs.
• Career Growth: Access to structured learning and development programs, professional certifications, and clear internal advancement pathways to support your long-term career goals.
• Work-Life Balance: Flexible working arrangements, generous paid leave policies, and a supportive work culture that values employee well-being.
• Collaborative Environment: Be part of a diverse, inclusive, and high-performing team that encourages innovation, open communication, and mutual respect across all levels of the organization.