Max Life Insurance Company Limited | Chief Manager- Claims | india
2 days ago
KEY RESPONSIBILITIESControl and monitor claims process and ensure compliance with Max Life and Regulatory norms.Managing life (Individual and Group) and health ClaimsOverseas 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 goalOverseas fraud and risk measure to counter all fraudulent claims.
Measure of Success:Accuracy, Quality, Productivity and Timeliness of claims ApprovalsClaims Audit Ratings.Reviews with Supervisor and Feedback from internal and external stake holders.ESAT and CSATAdherence to internal process and compliance.Timely delivery of all management and regulatory deliverablesAchieving the month on month targetsMaintain the Max Life leadership in the industry.
KEY FUNCTIONAL COMPETENCIES:Graduate/Post Graduate preferably in Insurance, Finance, Law, Commerce or MedicineKnowledge 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 takingfeedback 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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