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, ensuring timely and accurate settlements, and maintaining the highest standards of customer satisfaction. The ideal candidate will bring a strong analytical mindset, deep knowledge of insurance claims procedures, and proven leadership capabilities to drive operational excellence across the claims function.

Key Responsibilities

• Manage and oversee the complete claims lifecycle, including registration, investigation, assessment, processing, and final settlement in compliance with company policies and regulatory guidelines.
• Lead and mentor a team of claims executives, providing guidance, performance feedback, and training to ensure consistent delivery of quality outcomes.
• Review and approve claims within defined authority limits, ensuring accuracy, fairness, and adherence to turnaround time benchmarks.
• Coordinate with internal stakeholders such as underwriting, legal, and finance teams, as well as external parties including surveyors, investigators, and third-party administrators, to facilitate smooth claims resolution.
• Identify fraudulent or suspicious claims through thorough investigation and collaborate with the fraud management team to mitigate risk and financial exposure.
• Monitor claims data and generate periodic MIS reports to track key performance indicators, identify trends, and recommend process improvements to senior management.
• Ensure full compliance with IRDAI regulations, internal audit requirements, and company standard operating procedures throughout the claims handling process.
• Handle escalated customer complaints and grievances professionally, ensuring prompt resolution and maintaining high levels of policyholder satisfaction.

Requirements

• Education: Bachelor's degree in Commerce, Business Administration, 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 5–7 years of relevant experience in insurance claims management, preferably within general insurance, health insurance, or motor insurance segments.
• Strong working knowledge of IRDAI regulations, claims settlement procedures, and relevant insurance laws applicable in India.
• Excellent analytical and problem-solving skills with the ability to assess complex claims scenarios and make sound, data-driven decisions.
• Demonstrated leadership and team management abilities, with experience in handling and developing a team of professionals in a fast-paced environment.
• Proficiency in claims management software, MS Office applications, and MIS reporting tools.
• Exceptional communication and interpersonal skills in English and Hindi, with the ability to liaise effectively across multiple departments and external stakeholders.

Benefits

• Competitive Compensation: Attractive salary package aligned with industry standards, along with performance-linked incentives and annual appraisals to reward your contributions.
• Health and Wellness: Comprehensive medical insurance coverage for you and your dependents, along with access to employee wellness programs and mental health support initiatives.
• Career Development: Structured learning and development programs, sponsorship for professional certifications, and clear career progression pathways within a rapidly expanding organization.
• Work-Life Balance: Flexible working arrangements, paid leave entitlements, and a supportive work culture that values employee well-being and personal growth.
• Convenient Location: Modern, well-equipped office facilities in Thane with easy access to public transportation, along with transport allowances and other location-specific perks.