Head of insurance operations

Position: Insurance Operations & Compliance Manager & Founder Mentor Industry: Insurance (Health / Motor / Life / General – flexible) Experience: 5–7 Years Engagement: Full-time Location: India (Remote) Start Date: Immediate ???? Key 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 grows ???? Required 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 plus ???? Founder Mentoring Responsibilities Train 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