Group Operations

**Roles and Responsibilities**

**About the Department**
Group Business is a unique line of business with multi partner arrangement
- between the insurer, the master policy holder & the members. Group Operations
- department manages issuance and claims for products like Credit Protect, Group
- Term Insurance, Employer Employee schemes, etc. HDFC Life is an industry
- leader in this line of business and we are expanding at a rapid pace in this
- sphere.**What are we looking for?**

The AVP Group Operations primary responsibility will be overseeing claims
- processing for non-reinsurer cases across different product lines in Group
- Operations. This will involve handling the claims processing, minimizing process
- and operational risk, while ensure settling of genuine claims in the quickest and
- easiest possible manner for claimants and reducing adverse claim pay-outs for
- HDFC Life.**What does the job entail?**
The role will be entail managing the team with focus on the important
- operational aspects of the Life Claims function:
- Claims Decisions:

- Ensuring the right claim decisions while pursuing the shortest possible TAT

which will involve claim adjudication and ensuring regulatory compliance- Reviewing decided claims for quality check of assessment, on sample

basis and improve the process controls.- Reporting:

- Standardizing regulatory and financial reporting and reducing the manual

dependencies with a view to improve speed, efficiency, transparency and
- customer convenience in claims.- Compliance of all regulatory guidelines and ensuring reporting on

quarterly, half-yearly and yearly basis reports.- Operational Quality: Ensuring all transactional and process risks are

covered and mitigation measures are envisaged and deployed by
- implementing learnings from past claims decisions. Ensuring that the
- team is equipped and complying with the mitigation measures.- Knowledge Management: Capturing and institutionalizing the tacit

adjudication logic and processing logic to ensure people dependency is
- minimized. Ensure training to Claims team members through internal
- training modules, reinsurers, legal team for repudiation cases, etc.- Lead the teams towards the desired goals and drive ESAT and CSAT

scores for the unit and function- Relationship management across key functions such as Sales, Process,

Audit, BS&T, Legal, Products and Underwriting at Corporate office and
- branches and external stakeholders like Reinsurers for claims decisions
- and controlsEssential conditions:
- Education: Post Graduation
- Work exp: 10+ years in Life insurance operations preferably with

experience in Group Operations claims- Work related skills: Analytics, MS Excel and presentation
- Role:_Head - Operations
- Salary:_ Not Disclosed by Recruiter
- Industry:_Insurance
- Functional Area:_Customer Success, Service & Operations
- Role Category:_Operations
- Employment Type:_Full Time, Permanent
- Key Skills
- ClaimsGroup operationsMS EXCEL
- Operations Team Handling
- Skills highlighted with ‘‘ are preferred keyskills

Education
- PG:_Any Postgraduate

**Company Profile**:
HDFC Life

**About HDFC Life**:
HDFC Life, one of India’s leading private life insurance companies, offers a range of individual and group insurance solutions. HDFC Life continues to have one of the widest reaches among new insurance companies with about 380+ branches in India touching customers in over 900 cities and towns. Our long-stated strategy of balanced product mix, diversified distribution, continuous product innovation and re-imagining insurance through effective use of technology has enabled us to continue our journey despite the ever-changing external environment
- Company Info
- X

From 10 to 20 year(s) of experience