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 an exciting 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 efficiently and accurately. You will play a critical role in ensuring timely claim settlements, maintaining compliance with regulatory standards, and driving continuous process improvements across the claims function.

Key Responsibilities

• Oversee and manage the end-to-end claims processing lifecycle, including registration, investigation, assessment, and final settlement, ensuring accuracy and adherence to defined turnaround times.
• Review and evaluate complex or high-value claims, conducting thorough investigations to detect potential fraud, misrepresentation, or discrepancies before authorizing settlements.
• Coordinate with internal departments including underwriting, legal, finance, and customer service to facilitate seamless claims resolution and minimize operational bottlenecks.
• Ensure full compliance with IRDAI regulations, company policies, and industry best practices throughout all stages of the claims management process.
• Mentor, guide, and support junior claims executives and analysts, fostering a culture of accountability, continuous learning, and high performance within the team.
• Prepare and present detailed MIS reports, dashboards, and performance metrics to senior management, highlighting claim trends, pending cases, and settlement ratios on a regular basis.
• Liaise effectively with surveyors, third-party administrators (TPAs), hospitals, and external legal counsel to gather necessary documentation and expedite claim decisions.
• Identify process gaps and implement operational improvements to enhance efficiency, reduce claim leakage, and improve overall customer satisfaction scores.

Requirements

• Bachelor's degree in Commerce, Business Administration, Finance, or a related field; MBA or professional insurance certification (FIII/AIII) will be considered a strong advantage.
• Minimum 4–7 years of progressive experience in claims management within the general insurance, health insurance, or life insurance sector.
• In-depth knowledge of IRDAI guidelines, insurance products, policy terms and conditions, and claims settlement procedures applicable in the Indian market.
• Strong analytical and problem-solving abilities with a demonstrated capacity to handle high-value and sensitive claims independently and with sound judgment.
• Excellent written and verbal communication skills in English and Hindi, with the ability to interact confidently with customers, stakeholders, and senior leadership.
• Proficiency in claims management software, MS Excel, and MIS reporting tools; experience with insurance ERP platforms is highly desirable.
• Ability to work effectively under pressure, manage multiple priorities simultaneously, and consistently meet deadlines in a target-driven environment.

Benefits

• Competitive compensation package with performance-linked incentives and annual appraisal cycles aligned with industry benchmarks.
• Comprehensive health insurance coverage for employees and their immediate family members, including medical, dental, and wellness benefits.
• Structured learning and development programs, including sponsored professional certifications, internal training workshops, and leadership development initiatives.
• A collaborative and inclusive work culture that values diversity, recognizes individual contributions, and promotes work-life balance through flexible working arrangements.
• Clear and defined career progression pathways with opportunities to advance into senior management roles within a growing and dynamic organization.