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 and growth-driven environment. The ideal candidate will bring strong analytical capabilities, a thorough understanding of insurance or financial claims processes, and the ability to lead a team toward achieving operational excellence. You will play a critical role in ensuring timely, accurate, and compliant claims settlements while maintaining the highest standards of customer satisfaction.

Key Responsibilities

• Oversee and manage the end-to-end claims processing lifecycle, ensuring accuracy, compliance, and timely resolution of all assigned claims cases.
• Review, investigate, and evaluate complex claims submissions, verifying documentation and assessing liability in accordance with company policies and regulatory guidelines.
• Lead and mentor a team of claims executives, providing day-to-day guidance, performance feedback, and ongoing training to enhance team productivity and skill development.
• Collaborate closely with internal stakeholders including underwriting, legal, finance, and customer service teams to facilitate seamless claims workflows and resolve escalated issues.
• Monitor key performance indicators (KPIs) such as turnaround time, claims settlement ratio, and customer satisfaction scores, and implement corrective actions where necessary.
• Ensure full compliance with applicable IRDAI regulations, company guidelines, and internal audit requirements throughout the claims management process.
• Identify trends, patterns, and potential fraud indicators within claims data, and escalate suspicious cases to the appropriate investigation teams.
• Prepare and present detailed MIS reports, dashboards, and performance summaries to senior management on a regular basis to support data-driven decision-making.

Requirements

• Bachelor's degree in Commerce, Business Administration, Insurance, Finance, or a related field; a postgraduate qualification will be considered an added advantage.
• Minimum 5–8 years of progressive experience in claims management within the insurance, banking, or financial services sector, with at least 2 years in a supervisory or managerial capacity.
• Strong working knowledge of insurance products, policy terms, and claims settlement procedures, particularly in health, motor, or general insurance segments.
• Proficiency in claims management software and MS Office tools including Excel, Word, and PowerPoint, with the ability to analyze and interpret complex data sets.
• Excellent communication, negotiation, and interpersonal skills with the ability to manage relationships with customers, vendors, and internal teams effectively.
• Demonstrated ability to work under pressure, manage multiple priorities simultaneously, and deliver results within strict deadlines.
• Sound understanding of regulatory frameworks and compliance standards governing the insurance industry in India.

Benefits

• Competitive salary package with performance-linked incentives and annual bonuses aligned to individual and organizational targets.
• Comprehensive health insurance coverage for employees and immediate family members, along with life and accidental insurance benefits.
• Structured learning and development programs, including professional certifications, leadership training, and industry workshops to support career advancement.
• A collaborative and inclusive workplace culture that values innovation, integrity, and employee well-being, with regular engagement initiatives and recognition programs.
• Convenient Thane-based office location with flexible work arrangements, modern infrastructure, and access to employee wellness facilities.