The role is the custodian for the management of claims (other than Employee Benefit Claims) raised by both the group and the non-group clients. The role is responsible for ensuring the process adherence technical competencies of the team that every process right from the intimation of the incident leading to a claim till closure of the claim, is handled effectively and within prescribed TATs.

Key Result Areas:

Claims Management :

- Visit client site, as required, to understand claim incident and detail

- Ensure that team members involved in specific claim settlement process also visit the client site and gain thorough understanding of the incident

- Ensure that team members handling claim settlements have thoroughly understood the different financial and technical aspects of the claim

- Ensure that client policies relevant to the claim, are well read and understood to present a strong business case for the client

- Understand the technical and financial aspects of the claim and ensure that the client is informed of all aspects / possibilities of the claim settlement

- Conduct periodic review meetings with the team to track critical TATs and discuss monthly targets of claim settlement

- Ensure that all surveyor queries are responded to and intimated to the client

- Liaise with different stakeholders - Client, insurance companies, surveyor, as and when required, to ensure an effective closure of claims within defined TATs

Team Management :

- Conduct knowledge sharing sessions within the team to ensure that relevant knowledge of different technical and financial aspects of the insurance business is imparted

- Ensure learning and career growth opportunities for team

- Make recommendations for recognizing and rewarding talent within the team, in consultation with Head - Claims Management

Stakeholder Relationship Management

- Maintain effective relations with all stakeholders involved in the claim settlement process - Client, insurance companies, surveyor, internal teams like sales

- Coordinate with sales to build strong client relations

- Ensure that all client queries or surveyor queries are being responded to within defined TATs

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