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 processing, ensuring timely settlements, and maintaining the highest standards of customer satisfaction. The ideal candidate will bring strong analytical capabilities, a deep understanding of claims management, and the ability to lead a team in a fast-paced, results-driven environment. If you are passionate about operational excellence and delivering fair, accurate claim resolutions, we encourage you to apply.

Key Responsibilities

• Manage and oversee the complete claims lifecycle, including registration, investigation, assessment, negotiation, and final settlement in accordance with company policies and regulatory guidelines.
• Review and evaluate complex or high-value claims to ensure accurate liability determination and appropriate claim reserves are maintained at all times.
• Lead, mentor, and guide a team of claims executives, conducting regular performance reviews and providing ongoing training to improve team productivity and accuracy.
• Coordinate closely with surveyors, investigators, legal teams, and third-party service providers to facilitate smooth and timely claims resolution.
• Ensure strict adherence to TAT (Turnaround Time) benchmarks and SLA commitments while maintaining full compliance with IRDAI regulations and internal audit requirements.
• Identify and flag potentially fraudulent claims, initiating appropriate investigations and escalation procedures in collaboration with the fraud control unit.
• Prepare detailed MIS reports, dashboards, and performance analytics to present to senior management, highlighting claim trends, loss ratios, and process improvement opportunities.
• Handle escalated customer grievances and complaints related to claims, ensuring prompt resolution and a superior customer experience at every touchpoint.

Requirements

• Bachelor's degree in Commerce, Business Administration, Finance, or a related field; a postgraduate qualification or professional insurance certification (such as Licentiate/Associate from III) will be an added advantage.
• Minimum 5–7 years of experience in claims management within the general insurance, health insurance, or life insurance sector, with at least 2 years in a supervisory or managerial capacity.
• Strong working knowledge of IRDAI regulations, insurance policy wordings, and claims settlement norms applicable in the Indian market.
• Excellent analytical and decision-making skills with the ability to assess risk, interpret policy terms, and resolve complex claims scenarios independently.
• Proficiency in claims management systems, MS Office applications, and data reporting tools; experience with industry-specific software is highly desirable.
• Exceptional communication and interpersonal skills with the ability to liaise effectively across internal departments, external partners, and customers.
• Strong organizational skills with the ability to manage multiple priorities simultaneously while maintaining accuracy and meeting strict deadlines.

Benefits

• Competitive compensation package with performance-linked incentives and annual appraisal cycles aligned with industry standards.
• Comprehensive health and wellness benefits, including medical insurance coverage for employees and their immediate family members.
• Structured learning and development programs, including access to professional certifications, workshops, and leadership development initiatives.
• Work-life balance initiatives including flexible working arrangements, paid leave policies, and employee assistance programs to support overall well-being.
• A dynamic, inclusive, and growth-oriented work culture with clear career progression pathways and opportunities to take on greater responsibilities within the organization.