Head of Insurance Operations

Position: Insurance Operations & Compliance Manager & Founder MentorIndustry: Insurance (Health / Motor / Life / General – flexible)Experience: 5–7 YearsEngagement: Full-timeLocation: India (Remote)Start Date: ImmediateKey Responsibilities- Set up and manage day-to-day insurance operations (policy issuance, endorsements, renewals, cancellations, claims coordination, etc.) - Draft, review, and maintain policy wordings, proposal forms, schedules, SLAs, broker agreements, and basic reinsurance contracts - Build and manage the policy administration process – from proposal to policy issuance, documentation, and post-issuance servicing - Coordinate with insurers, reinsurers, brokers, TPAs, aggregators, corporate clients, and individual clients - Design and implement SOPs, workflows, and basic KPIs for enquiries, quotations, underwriting referrals, policy issuance, endorsements, claims handling, and collections - Ensure regulatory compliance with local insurance regulations (e.g. IRDAI / local regulator), including documentation standards, onboarding KYC, and reporting requirements - Implement basic internal controls to avoid mis-selling, unauthorized discounts, policy backdating, and manipulation of premiums or claims - Support / guide in product development: features, exclusions, premium structure, and documentation for new products or schemes - Set up simple MI / reporting dashboards for: - Policies issued, endorsements, renewals, and lapses - Premium written vs. earned, claims ratio, and basic profitability per product/client - Collections, outstanding premiums, and credit control - Coordinate with accounts/finance for premium collections, reconciliations with insurers, commissions, and TDS/GST/VAT-related aspects - Assist in vendor and partner onboarding (TPAs, brokers, agents, tech vendors) with proper documentation and checks - Support future team building (policy admin, claims desk, customer support, maybe sales support) as the business growsRequired Expertise- 5–7 years of experience in insurance operations / underwriting / policy administration / claims with an insurer, broker, TPA, or large corporate with in-house insurance desk - Strong working knowledge of at least one or more lines: - Health insurance (retail/group) - Motor insurance (retail/fleet) - General insurance (property, liability, marine, etc.) - Life insurance exposure is a plus but not mandatory - Solid understanding of: - Policy structures, coverage, exclusions, deductibles, co-pay, sub-limits, waiting periods - Underwriting guidelines and when to seek approvals/referrals - Claims processes – FNOL, documentation, assessment, repudiation, approvals, and TATs - Local insurance regulations and basic compliance requirements - Experience in end-to-end case handling from proposal/quote to policy issuance and claims coordination - Prior exposure to corporate/group policies and international or cross-border clients is a plusFounder Mentoring ResponsibilitiesTrain and mentor the founder on:- Basic insurance fundamentals – how products are structured and what really matters in coverage - Pricing logic and premium structures – risk-based pricing, loadings, discounts, NCB, experience rating (for group) - How claims ratios, loss ratios, and combined ratios affect pricing and negotiations with insurers - How fraud, leakage, and misuse can happen in insurance: - Fake claims / inflated claims - Misuse of group policies - Unauthorized discounts / off-the-book deals - Manipulation of backdating, endorsements, or coverage details - Designing controls to prevent fraud, margin leakage, and mis-selling - How to read and compare policy wordings and find hidden gaps or exclusions - Help the founder to shadow calls and emails with insurers, brokers, and clients to understand the business practically⚙️ Technical & Management Skills- Comfortable using insurance core systems / broker portals / policy admin systems / CRM - Strong MS Excel / Google Sheets skills for rate comparisons, premium calculations, and simple dashboards - Ability to design simple but robust SOPs and checklists for: - New policy issuance - Endorsements and renewals - Claims intake and documentation - Compliance and documentation checks - Good understanding of credit risk related to premiums, collection cycles, and insurer payment terms - Strong analytical mindset for product comparison, margin protection, and basic portfolio performance tracking - Familiarity with compliance, KYC/AML basics, and regulatory documentation standards✅ Ideal Candidate Traits- Operator + teacher mindset – can run operations independently while patiently explaining concepts to a non-insurance founder - Comfortable letting the founder shadow calls, negotiations, and day-to-day operations - Hands-on, detail-oriented, and comfortable working in a zero-structure, startup environment - Transparent and ethical, with a strong focus on clean deals, documentation, and regulatory compliance - Strong ownership mentality – treats the business as their own and is willing to build the foundation for future scale