Sr. Manager ( TP Claims ) | FINJO N1018

Key Responsibilities

• . Monitor KPIs and ensure service level agreements (SLAs) and regulatory timelines are met with TAT.
• . Data management for TP claim and validations on regular basis, coordination with internal stakeholders
• . Ensuring Quality Checks for all cases are completed within the specified turnaround time (TAT), maintaining adherence to deadlines and quality standards
• . Publishing weekly dashboard to respective LOB’s for the QC done cases and sharing list of cases to rework
• Ensure timely follow-up on rework cases according to
• . Oversee thorough and efficient investigation of third-party motor claims (including property damage, bodily injury, and liability assessments)
• . Ensure the accurate application of liability, indemnity, and policy coverage evaluations.
• . Direct complex investigations, including staged accidents, organized fraud, and exaggerated claims.
• . Fraud Detection & Prevention, Collaborate with Special Investigation Units (SIU), legal teams, and external stakeholders on suspicious and fraudulent claims.
• . Implement anti-fraud strategies, data analytics, and red flag detection procedures.
• . Liaise with third-party service providers (law firms, adjusters, garages), internal departments, and regulatory bodies through RTI, appeal

Key Responsibilities

Key Requirements :

Technical Skills :