Description:
- Ensuring Quality Checks for all cases are completed within the specified turnaround time (TAT), maintaining adherence to deadlines and quality standards. Publishing weekly dashboard to respective LOBs for the QC done cases and sharing list of cases to rework
- Ensure timely follow-up on rework cases according to.
- Oversee thorough and efficient investigation of third-party motor claims (including property damage, bodily injury, and liability assessments). Ensure the accurate application of liability, indemnity, and policy coverage evaluations.
- Direct complex investigations, including staged accidents, organized fraud, and exaggerated claims.
- Fraud Detection & Prevention, Collaborate with Special Investigation Units (SIU), legal teams, and external stakeholders on suspicious and fraudulent claims. Implement anti-fraud strategies, data analytics, and red flag detection procedures.
- Liaise with third-party service providers (law firms, adjusters, garages), internal departments, and regulatory bodies through RTI, appeal.
- Key Responsibilities. Ensure timely and professional communication with claimants, brokers, and third-party representatives.
Key Requirements:
- Minimum 8 years of experience in motor claims, with at least 23 years in a managerial/supervisory
capacity.
Technical Skills:
- Strong knowledge of liability laws, claims fraud indicators, and legal procedures.
- Proficient in claims management systems and MS Office tools.
- Excellent analytical, investigative, and problem-solving abilities.
- Familiarity with digital investigation tools available in market.
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