Head of insurance operations & compliance

Position : Insurance Operations & Compliance Manager & Founder Mentor Industry : Insurance (Health / Motor / Life / General – flexible) Experience : 5–7 Years Engagement : Full-time Location : India (Remote) Start Date : Immediate

• ???? Key Responsibilities Set 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 contracts Build and manage the policy administration process – from proposal to policy issuance, documentation, and post-issuance servicing Coordinate with insurers, reinsurers, brokers, TPAs, aggregators, corporate clients, and individual clients Design and implement SOPs, workflows, and basic KPIs for enquiries, quotations, underwriting referrals, policy issuance, endorsements, claims handling, and collections Ensure regulatory compliance with local insurance regulations (e.g. IRDAI / local regulator), including documentation standards, onboarding KYC, and reporting requirements Implement basic internal controls to avoid mis-selling, unauthorized discounts, policy backdating, and manipulation of premiums or claims Support / guide in product development : features, exclusions, premium structure, and documentation for new products or schemes Set up simple MI / reporting dashboards for : Policies issued, endorsements, renewals, and lapses

Premium written vs. earned, claims ratio, and basic profitability per product / client

Collections, outstanding premiums, and credit control

Coordinate with accounts / finance for premium collections, reconciliations with insurers, commissions, and TDS / GST / VAT-related aspects Assist in vendor and partner onboarding (TPAs, brokers, agents, tech vendors) with proper documentation and checks Support future team building (policy admin, claims desk, customer support, maybe sales support) as the business grows

Health insurance (retail / group) Motor insurance (retail / fleet) General insurance (property, liability, marine, etc.) Life insurance exposure is a plus but not mandatory

Solid understanding of :

Policy structures, coverage, exclusions, deductibles, co-pay, sub-limits, waiting periods Underwriting guidelines and when to seek approvals / referrals Claims processes – FNOL, documentation, assessment, repudiation, approvals, and TATs Local insurance regulations and basic compliance requirements Experience in end-to-end case handling from proposal / quote to policy issuance and claims coordination Prior exposure to corporate / group policies and international or cross-border clients is a plus

Misuse of group policies

Unauthorized discounts / off-the-book deals

Manipulation of backdating, endorsements, or coverage details

Designing controls to prevent fraud, margin leakage, and mis-selling How to read and compare policy wordings and find hidden gaps or exclusions Help the founder to shadow calls and emails with insurers, brokers, and clients to understand the business practically

⚙️ Technical & Management Skills Comfortable using insurance core systems / broker portals / policy admin systems / CRM Strong MS Excel / Google Sheets skills for rate comparisons, premium calculations, and simple dashboards Ability to design simple but robust SOPs and checklists for : New policy issuance

Endorsements and renewals

Claims intake and documentation

Compliance and documentation checks

Good understanding of credit risk related to premiums, collection cycles, and insurer payment terms Strong analytical mindset for product comparison, margin protection, and basic portfolio performance tracking Familiarity with compliance, KYC / AML basics, and regulatory documentation standards

✅ Ideal Candidate Traits Operator + teacher mindset – can run operations independently while patiently explaining concepts to a non-insurance founder Comfortable letting the founder shadow calls, negotiations, and day-to-day operations Hands-on, detail-oriented, and comfortable working in a zero-structure, startup environment Transparent and ethical , with a strong focus on clean deals, documentation, and regulatory compliance Strong ownership mentality – treats the business as their own and is willing to build the foundation for future scale