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 in Thane, India . This is a critical role within our insurance operations division, responsible for managing end-to-end claims processing, ensuring ti...
About the role
About the Role
We are seeking a highly motivated and detail-oriented Deputy Manager – Claims (DM-Claims) to join our growing team in Thane, India. This is a critical role within our insurance operations division, responsible for managing end-to-end claims processing, ensuring timely settlements, and maintaining the highest standards of customer satisfaction. The ideal candidate will bring strong analytical capabilities, deep knowledge of claims management practices, and a proven ability to lead teams in a fast-paced environment. If you are passionate about delivering fair and efficient claims resolutions while driving process improvements, we encourage you to apply.
Key Responsibilities
- Oversee and manage the end-to-end claims lifecycle, including registration, investigation, assessment, and final settlement across motor, health, or general insurance lines.
- Review and evaluate complex claims files to ensure accuracy, completeness, and compliance with company policies, regulatory guidelines, and industry standards.
- Coordinate with surveyors, third-party administrators (TPAs), legal teams, and external agencies to facilitate prompt and accurate claims resolution.
- Monitor team performance metrics including turnaround time (TAT), claims ratio, and customer satisfaction scores, implementing corrective actions where necessary.
- Identify and investigate potentially fraudulent claims, escalating suspicious cases to the appropriate internal teams and ensuring proper documentation throughout the process.
- Prepare and present detailed MIS reports, dashboards, and performance summaries to senior management on a regular basis.
- Collaborate with underwriting, legal, and finance departments to streamline claims workflows and drive continuous process improvement initiatives.
- Ensure strict adherence to IRDAI regulations and internal compliance frameworks, keeping up to date with changes in insurance laws and industry best practices.
Requirements
- Bachelor's degree in Commerce, Finance, Business Administration, or a related field; a postgraduate qualification or professional certification in insurance (FIII/AIII) is preferred.
- Minimum 5–8 years of experience in claims management within the general, motor, or health insurance sector, with at least 2 years in a supervisory or managerial capacity.
- Strong working knowledge of IRDAI guidelines, insurance policy wordings, and claims settlement procedures.
- Excellent analytical and problem-solving skills with the ability to assess complex claims scenarios and make sound, data-driven decisions under pressure.
- Proficiency in claims management software and MS Office Suite, particularly Excel and PowerPoint, for reporting and data analysis purposes.
- Exceptional communication and interpersonal skills, with the ability to liaise effectively with customers, vendors, and internal stakeholders at all levels.
- Demonstrated ability to lead, mentor, and motivate a team while managing multiple priorities and meeting strict deadlines.
Benefits
- Competitive compensation package with performance-linked incentives and annual appraisal cycles aligned with industry benchmarks.
- Comprehensive health and life insurance coverage for employees and their immediate family members from day one of employment.
- Opportunities for professional development and career growth, including sponsored certifications, training programs, and leadership development initiatives.
- A collaborative and inclusive work culture that values diversity, innovation, and employee well-being, with structured work-life balance policies.
- Convenient Thane-based office location with accessible transport links, modern workplace facilities, and hybrid working options subject to role requirements.