Head of Insurance Operations & Compliance

Position : Insurance Operations & Compliance Manager & Founder MentorIndustry : Insurance (Health / Motor / Life / General – flexible)Experience : 5–7 YearsEngagement : Full-timeLocation : India (Remote)Start Date : ImmediateKey ResponsibilitiesSet up and manage day-to-day insurance operations (policy issuance, endorsements, renewals, cancellations, claims coordination, etc.)Draft, review, and maintain policy wordings, proposal forms, schedules, SLAs, broker agreements, and basic reinsurance contractsBuild and manage the policy administration process – from proposal to policy issuance, documentation, and post-issuance servicingCoordinate with insurers, reinsurers, brokers, TPAs, aggregators, corporate clients, and individual clientsDesign and implement SOPs, workflows, and basic KPIs for enquiries, quotations, underwriting referrals, policy issuance, endorsements, claims handling, and collectionsEnsure regulatory compliance with local insurance regulations (e.g. IRDAI / local regulator), including documentation standards, onboarding KYC, and reporting requirementsImplement basic internal controls to avoid mis-selling, unauthorized discounts, policy backdating, and manipulation of premiums or claimsSupport / guide in product development : features, exclusions, premium structure, and documentation for new products or schemesSet up simple MI / reporting dashboards for : Policies issued, endorsements, renewals, and lapsesPremium written vs. earned, claims ratio, and basic profitability per product / clientCollections, outstanding premiums, and credit controlCoordinate with accounts / finance for premium collections, reconciliations with insurers, commissions, and TDS / GST / VAT-related aspectsAssist in vendor and partner onboarding (TPAs, brokers, agents, tech vendors) with proper documentation and checksSupport future team building (policy admin, claims desk, customer support, maybe sales support) as the business growsRequired Expertise5–7 years of experience in insurance operations / underwriting / policy administration / claims with an insurer, broker, TPA, or large corporate with in-house insurance deskStrong working knowledge of at least one or more lines : Health insurance (retail / group)Motor insurance (retail / fleet)General insurance (property, liability, marine, etc.)Life insurance exposure is a plus but not mandatorySolid understanding of : Policy structures, coverage, exclusions, deductibles, co-pay, sub-limits, waiting periodsUnderwriting guidelines and when to seek approvals / referralsClaims processes – FNOL, documentation, assessment, repudiation, approvals, and TATsLocal insurance regulations and basic compliance requirementsExperience in end-to-end case handling from proposal / quote to policy issuance and claims coordinationPrior exposure to corporate / group policies and international or cross-border clients is a plusFounder Mentoring ResponsibilitiesTrain and mentor the founder on : Basic insurance fundamentals – how products are structured and what really matters in coveragePricing logic and premium structures – risk-based pricing, loadings, discounts, NCB, experience rating (for group)How claims ratios, loss ratios, and combined ratios affect pricing and negotiations with insurersHow fraud, leakage, and misuse can happen in insurance : Fake claims / inflated claimsMisuse of group policiesUnauthorized discounts / off-the-book dealsManipulation of backdating, endorsements, or coverage detailsDesigning controls to prevent fraud, margin leakage, and mis-sellingHow to read and compare policy wordings and find hidden gaps or exclusionsHelp the founder to shadow calls and emails with insurers, brokers, and clients to understand the business practically⚙️ Technical & Management SkillsComfortable using insurance core systems / broker portals / policy admin systems / CRMStrong MS Excel / Google Sheets skills for rate comparisons, premium calculations, and simple dashboardsAbility to design simple but robust SOPs and checklists for : New policy issuanceEndorsements and renewalsClaims intake and documentationCompliance and documentation checksGood understanding of credit risk related to premiums, collection cycles, and insurer