DM-Claims (Thane)

About the Role

We are looking for a motivated and detail-oriented Deputy Manager – Claims (DM-Claims) to join our growing team based in Thane, Maharashtra. This role sits at the heart of our insurance operations and requires a professional who can manage end-to-end claims processing with accuracy, efficiency, and a strong customer-first mindset. You will play a critical role in ensuring that claims are assessed, investigated, and settled in compliance with regulatory guidelines and company policies.

The ideal candidate will bring hands-on experience in claims management within the general insurance or health insurance sector, along with a thorough understanding of Indian insurance regulations as governed by the Insurance Regulatory and Development Authority of India (IRDAI). You will collaborate closely with surveyors, legal teams, TPAs (Third Party Administrators), and internal stakeholders to drive timely and fair claim resolutions.

This is an excellent opportunity for a seasoned claims professional looking to step into a leadership role, contribute to process improvements, and make a meaningful impact within a dynamic and fast-paced environment in the Thane-Mumbai region.

Key Responsibilities

• Manage and oversee the end-to-end claims lifecycle, including registration, investigation, assessment, and final settlement for motor, health, property, or liability claims.
• Review and analyse claim documents, surveyor reports, and medical records to ensure accuracy and completeness before approving settlements.
• Coordinate with empanelled surveyors, TPAs, hospitals, and garages to ensure smooth and timely claim processing within defined TATs (Turnaround Times).
• Identify and investigate potentially fraudulent or suspicious claims, escalating cases to the fraud management team as required.
• Ensure strict adherence to IRDAI guidelines, internal SOPs, and compliance frameworks throughout the claims process.
• Handle customer grievances and escalations related to claims, providing prompt and professional resolutions to maintain high satisfaction levels.
• Prepare and present MIS reports, claims dashboards, and performance metrics to senior management on a regular basis.
• Mentor and guide junior claims executives, fostering a culture of accountability, accuracy, and continuous improvement within the team.

Requirements

• Bachelor's degree in Commerce, Business Administration, or a related field; AIII or Licentiate certification from III (Insurance Institute of India) is preferred.
• Minimum 5–8 years of experience in claims handling within the general insurance, health insurance, or reinsurance industry in India.
• Strong working knowledge of IRDAI regulations, Motor Vehicles Act, and relevant insurance laws applicable in India.
• Proficiency in claims management software and tools, along with a good command of MS Excel and MIS reporting.
• Excellent analytical and investigative skills with a keen eye for identifying discrepancies and inconsistencies in claim documentation.
• Strong communication skills in English, Hindi, and Marathi (preferred) to effectively liaise with customers, vendors, and internal teams.
• Ability to work under pressure, manage multiple claims simultaneously, and consistently meet TAT and quality benchmarks.

Benefits

• Competitive CTC package commensurate with experience, along with performance-linked incentives and annual appraisals.
• Comprehensive health insurance coverage for self and family, including mediclaim and personal accident policies.
• Structured learning and development programmes, including sponsorship for professional certifications from the Insurance Institute of India.
• Convenient Thane office location with easy access to Central Line and Trans-Harbour rail connectivity.
• Supportive work culture with clear career progression pathways into senior management roles within the claims and operations functions.