Manager - Risk & Claims - Insurance

Key objectives of the position:

Analysis and Auditing of claims. Identifying claim trends and suggesting corrective measures. Ensuring process and policy terms adherence.

- Claim ratio calculation, monitoring and publishing the claim ratio dashboard.

- Holding primary discussions with internal stakeholders and sharing findings and way ahead for programs/policies.

- Claim assessment and process audits. Auditing adherence of policy terms by claims team.

- Program/policy wise risk analysis.

- Regular reviews with Business and product teams. Suggesting and implementing required changes in the product/policy.

- Assess and analyzing potential fraud cases and identifying trends in frauds and taking/suggesting corrective measures

- Managing fraud claim investigations team.

6-8 years of experience in claims processing. Should be working for an insurance company or Insurance broker.

MBA will be added advantage

- Ability to engage with Employees across levels

- Ability to handle conflicts and grievance handling

- High level of empathy with good listening skills

- Strong people skills to assess behavioral & values alignment

- Highly skilled in process management with eye for detailing

- Vendor management experience to get desired SLA output

- Go-Getter, self starter

- Bias for action, Execution & speed

- Open to ideas and eager to experiment

- Collaborative approach with ease in dealing with multiple stakeholders and teams

- Task focused with passion for employee experience & satisfaction