Chief Manager- Claims
2 days ago
JOB SUMMARY
Responsible for the direction, control and management of business processing operations for Individual and Group claims.
Develop efficient and sustainable operations support processes for Max Life claims.
Identifying customer preferences and working towards meeting/ exceeding customer satisfaction
KEY RESPONSIBILITIES
Control and monitor claims process and ensure compliance with Max Life and Regulatory norms.
Managing life (Individual and Group) and health Claims
Overseas the entire team development including hiring, mentoring, training and motivating the team.
Review and approve payments and repudiations of claims within his/her specified authority limit.
Share feedback with Products and Actuaries on the existing products and assist development of new products.
Handling strategic projects.
Handling management and regulatory deliverables.
Alignment with Max Life goal
Overseas fraud and risk measure to counter all fraudulent claims.
Measure of Success:
Accuracy, Quality, Productivity and Timeliness of claims Approvals
Claims Audit Ratings.
Reviews with Supervisor and Feedback from internal and external stake holders.
ESAT and CSAT
Adherence to internal process and compliance.
Timely delivery of all management and regulatory deliverables
Achieving the month on month targets
Maintain the Max Life leadership in the industry.
KEY FUNCTIONAL COMPETENCIES:
Graduate/Post Graduate preferably in Insurance, Finance, Law, Commerce or Medicine
Knowledge of basics of Life, Health and Group Insurance business and Operations.
Should be well versed with MS office.
Minimum 10 years of experience in Life/Group Insurance/other Operations preferably in claims management and processing.
Added qualifications from Insurance Institute of India, LOMA, ICA etc will be preferred.
KEY PERSONAL COMPETENCIES:
Creativity: Ability to come up with imaginative and innovative solutions to business needs.
Strong communication skills: Ability to express ideas clearly and persuasively.
Planning and Organization: Effectiveness in planning and organizing activities of himself and team members.
Inter organization skills: Ability to work together with all stakeholders involved; flexibility in taking
feedback and modifying approach.
Customer centricity: Customer passion and delivery of value for customers Collaborative approach with subordinate, Peers and seniors.
Leadership skills
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