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Legal Manager(Health Insurance/General Insurance)
2 months ago
Job Summary:
The Legal Manager will oversee and manage all legal affairs related to health insurance operations. The role involves ensuring compliance with regulatory frameworks, drafting and reviewing contracts, providing legal advice on insurance policies, and handling disputes or claims. The ideal candidate will have 6 to 12 years of experience in the legal domain, with a strong background in health insurance law and regulatory matters.
Key Responsibilities:
Regulatory Compliance & Governance:
- Ensure company operations are fully compliant with health insurance regulations, such as IRDAI guidelines and other applicable laws.
- Monitor changes in insurance laws and ensure timely adaptation of business processes.
- Liaise with regulatory authorities and external legal advisors when necessary.
Contract Management:
- Draft, review, and negotiate agreements, including service contracts, policy documents, third-party agreements, and vendor contracts.
- Ensure all contracts align with legal standards and protect the company's interests.
- Maintain an organized database of all legal documents and contracts.
Litigation & Dispute Resolution:
- Handle and manage legal disputes, insurance claims, and litigation matters with policyholders, vendors, or partners.
- Work closely with external counsels on legal proceedings, arbitration, and dispute resolution.
- Provide strategic advice on minimizing legal risks associated with claims and disputes.
Policy Advisory:
- Advise the business on the legal aspects of health insurance products, including terms and conditions, coverage exclusions, and policyholder rights.
- Ensure legal language in all policy documents is clear, compliant, and aligned with the business strategy.
- Review product offerings from a legal and compliance standpoint to mitigate potential liabilities.
Risk Management:
- Identify potential legal risks within the company’s operations and propose risk mitigation strategies.
- Develop internal processes and guidelines to prevent legal violations or disputes.
- Conduct periodic audits to assess legal risks and ensure proactive resolution.
Team Collaboration & Training:
- Collaborate with cross-functional teams (e.g., underwriting, claims, finance) to provide legal guidance on projects and operations.
- Conduct legal training sessions for internal stakeholders to raise awareness of legal and compliance issues.
Key Qualifications:
- Bachelor’s degree in Law (LLB) from a recognized institution (Master’s degree or specialization in Insurance Law preferred).
- 6 to 12 years of experience in the legal field, with a focus on health insurance or the insurance sector.
- Strong knowledge of IRDAI regulations and health insurance products.
- Proven track record in handling regulatory compliance, contract management, and dispute resolution.
- Excellent drafting, negotiation, and communication skills.
- Ability to work independently and provide sound legal advice in a fast-paced environment.
