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 excellent opportunity for an experienced claims professional to take ownership of end-to-end claims management within a dynamic and fast-paced environment. The ideal candidate will bring strong analytical capabilities, sound knowledge of insurance or financial claims processes, and a proven ability to lead teams and resolve complex claims efficiently. You will play a critical role in ensuring accurate, timely, and fair settlement of claims while maintaining compliance with regulatory standards and organizational policies.

Key Responsibilities

• Oversee and manage the complete claims lifecycle, from registration and investigation through to final settlement, ensuring adherence to internal SLAs and regulatory timelines.
• Review, assess, and authorize claims within designated approval limits, applying sound judgment to determine liability, coverage, and appropriate settlement amounts.
• Lead and mentor a team of claims executives, providing guidance, performance feedback, and training to build a high-performing claims unit.
• Collaborate closely with underwriting, legal, finance, and operations teams to resolve complex or disputed claims and mitigate potential financial risks to the organization.
• Identify and investigate potentially fraudulent claims by conducting thorough due diligence, coordinating with investigators, and escalating cases as required.
• Prepare and present detailed MIS reports, dashboards, and claim analytics to senior management, highlighting trends, loss ratios, and areas for process improvement.
• Ensure strict compliance with IRDAI guidelines, company policies, and applicable legal frameworks throughout the claims handling process.
• Drive continuous process improvement initiatives to enhance operational efficiency, reduce turnaround time, and improve overall customer satisfaction in claims resolution.

Requirements

• Bachelor's degree in Commerce, Finance, Law, or a related discipline; a postgraduate qualification or professional certification in insurance (such as FIII or AIII) will be an added advantage.
• Minimum 5–8 years of progressive experience in claims management within the insurance, banking, or financial services industry, with at least 2 years in a supervisory or managerial capacity.
• Strong working knowledge of motor, health, property, or liability claims processes, policies, and relevant regulatory requirements in the Indian market.
• Excellent analytical and problem-solving skills with a demonstrated ability to handle high-value and complex claims independently and decisively.
• Proficiency in claims management software, MS Excel, and reporting tools, with the ability to interpret data and generate actionable insights.
• Exceptional communication and interpersonal skills, with the ability to negotiate effectively with clients, surveyors, legal counsel, and third-party stakeholders.
• Strong understanding of fraud detection methodologies and risk assessment practices within the claims domain.

Benefits

• Competitive salary 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 vision benefits.
• Opportunities for professional development and career advancement, including access to industry certifications, workshops, and leadership training programs.
• A collaborative and inclusive work culture that values innovation, integrity, and employee well-being, with flexible working arrangements where applicable.
• Convenient Thane location with excellent connectivity, along with transport facilities and other employee-friendly workplace amenities.