Job Overview: As the Senior Manager EB & Non-Motor Claims, you will lead and optimize the end-to-end claims lifecycle for Employee Benefits and Non-Motor portfolios. This role demands strong team leadership, strategic process management, expertise in complex claims resolution, and a commitment to enhancing client satisfaction. You will also oversee compliance, data-driven insights, and cross-functional collaboration to elevate claims service delivery. Key Responsibilities: Claims Operations Leadership: - Lead, manage, and mentor a team of claims specialists handling Employee Benefits (e.g., Group Health, GPA) and Non-Motor claims (e.g., Property, Liability, Marine, D&O). Strategic Claims Management: - Develop and implement claims strategies and best practices to reduce turnaround times (TATs), streamline operations, and improve overall efficiency and client experience. Complex Claims Resolution: - Personally handle high-value and complex claims, ensuring fair, timely, and expert resolution. Insurer Relationship Management: - Build and maintain strong working relationships with claims personnel and leadership at various insurance companies to ensure seamless claims processing and resolution. Client Communication & Advocacy: - Ensure consistent, empathetic, and proactive communication to clients throughout the claims process. Serve as an escalation point for sensitive client claims matters. Process Improvement & Automation: - Identify areas for workflow optimization and automation, leveraging technology to improve efficiency and reduce manual interventions. Data Analysis & Reporting: - Analyze claims data to uncover trends, root causes, and improvement opportunities. Create detailed MIS reports for internal teams and leadership. Compliance & Governance: - Ensure that all claims processes are compliant with IRDAI regulations, company policies, and ethical standards. Team Development: - Recruit, coach, and grow a high-performing claims team that values ownership, agility, and client-centricity. Cross-Functional Collaboration: - Work closely with departments such as sales, underwriting, product, and customer success to resolve challenges and drive product and service enhancements. Qualifications: Education: - Bachelors degree in any discipline. A Masters degree or professional insurance certification (e.g., FLMI, ACII, Licentiate/Associate from III) is preferred. Experience: - Minimum of 8 years of progressive experience in insurance claims management. - Strong exposure to Employee Benefits (especially Group Health) and Non-Motor claims. - Proven leadership experience in managing and mentoring claims teams. Expertise & Skills: - Comprehensive understanding of all major lines of business (LOBs). - In-depth knowledge of IRDAI regulations and compliance frameworks. - Excellent negotiation, communication, and interpersonal abilities. - Strong analytical and problem-solving skills with a data-driven approach. - Ability to manage complex and sensitive claims with precision and empathy. - Client-first mindset and a passion for delivering high service standards. - Proficiency in claims management tools and MS Office Suite. - Adaptability to thrive in a dynamic, fast-paced environment.

Indore

Senior Manager - Claims 

Job Description for Senior Manager - Claims  in PEOPLEX VENTURES in  Indore for (8-12) years of experience. Apply Now!