Senior Manager - Claims & Audit

Responsibilities:

- Responsible for the day to day management of the Claims Process and Audit Team Pan India.

- Supervision of the multiple processes and the continuous improvement of the performance of these processes to maintain the optimum service levels.

- Monitor the turnaround time for the claims.

- Scrutiny and analysis of the information to make sure claims are handled tactfully.

- Resolving critical approval and decisions with the Service Centres.

- Handling internal escalations and maintaining regular follow up till the escalation is closed.

- Be directly responsible for early detection of suspicious cases at new business login

- Provide guidance and development of tools in discussion with analytics team for early detection of frauds

- Ensure timely and adequately structured risk reports being published to the stakeholders

- Review the accuracy of the risk reporting and risk updates (Risk reports,MIS, dashboards) at various frequencies.

Functional Skills Required:

- Knowledge of claims management, risk identification, audit operations

- Ability to create processes and benchmarks around risk and claims management.

- Good working knowledge of risk identification and the ability to price risk into the product

- Knowledge of insurance fraud risks and data analytics

- Should have experience in the Service Centre domain

- Having good technical knowledge of electronics.