Manager - Claims Investigation - General Insurance

Manager, Investigation Claims based out of Corporate Office, Mumbai.

Job Brief:

- Manager to oversee investigations for claims (Legal-TP Claims/ WC claims/ OD claims, PA Claims, Theft Claims & Health Claims, Commercial claims) of our GI business.

- The successful candidate will effectively ensure investigation conformity and minimize probability of exposure.

Academic Qualification:

- Must be a graduate from a recognized institution or university.

- Law Graduate (LLB or LLM) + III pass out will be the first choice.

Required Experience / Key responsibilities:

- Candidate must be experienced with 5 to 7 yrs in General Insurance Industry specially in claims investigation field.

- Experience in handling team (minimum 02 member) with minimum exposure of Zonal portfolio.

- Exposure in dealing with MACT / Third Party Claims & WC matters, PA claims, Health claims, OD claims & Theft Claims investigation.

- Candidate must have good drafting skills as well as communication skills.

- Candidate must have well experience in recovery procedure (Pay & Recovery Legal Claims & Theft vehicle recovery).

- Experience in handling for & against litigations before various courts arising out of claims (civil, criminal etc.

- Candidate should have well conversant about latest laws pertaining to Insurance Laws, Criminal law & Indian Evidence Act.

- Experience in handling Advocates & Investigators : (1) Vetting of relevant applications whenever requires in best interest of the company (2) review of investigation report to conclude/ quantify cases into respective categories (settleable/contest/defense).

- Must be conversant with MS office for day-to-day activities & maintaining required MIS to extract important/effective details.

- Experience in adducing evidence to defend the matters rigorously & to safeguard company's interest whenever required.

- Experience in handling Criminal proceedings before Police authority or action required before RTO authority or subsequent authority whenever required.