Claims Specialist
2 days ago
Job Description
Industry: General Insurance / Insurance Broking / Insurance Surveyor
Location: Mumbai
Experience: 12+ years
Reporting To: Business Head/Vertical Head
Role Summary
The role holder will lead the claims function across all Specialty lines of business, ensuring efficient, compliant, and client-centric claims handling. The role involves strategic overview, operational excellence, and stakeholder management to drive timely and fair claim settlements.
Key Responsibilities
Strategic Leadership
- Define and implement claims strategy aligned with business goals.
- Lead and mentor a team of claims professionals.
Claims Operations
- Oversee end-to-end claims lifecycle across Specialty Claims like BBB, Cyber, Cards, Specie, Professional Indemnity, CGL, Event Cancellation, Loss of Fees, Media and Affinity.
- Ensure timely documentation, coordination with clients, insurers, surveyors, and regular client updates.
Client & Stakeholder Management
- Act as escalation point for complex or high-value claims.
- Maintain strong relationships with insurers, surveyors, and clients.
Compliance & Governance
- Ensure adherence to IRDAI regulations and internal SOPs.
- Handle audits, regulatory reporting, and internal risk controls.
Process Improvement
- Drive automation, analytics, and process optimization.
- Implement feedback loops for continuous improvement.
Candidate Profile
Education: Graduate/Postgraduate (Insurance certifications like Associate/Fellow from Insurance Institute of India preferred).
Experience: Minimum 12 years in claims handling, preferably in Insurance broking, PSU/Private insurance company, Insurance Surveyors operations.
Skills:
- Strong leadership and communication.
- Deep understanding of commercial insurance products.
- Ability to manage high-pressure situations and multiple stakeholders.
- Should be able to train the team members and improve their skills.
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