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
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
Ensure timely and professional communication with claimants, brokers, and third-party representatives.
Key Requirements :
Bachelor’s degree in insurance, law, business administration, or a related field.
Minimum 8 years of experience in motor claims, with at least 2–3 years in a managerial / supervisory capacity.
Technical Skills :
In-depth understanding of third-party motor claims handling processes and insurance principles.
Strong knowledge of liability laws, claims fraud indicators, and legal procedures.
Proficient in claims management systems and MS Office tools.
Excellent analytical, investigative, and problem-solving abilities.
Familiarity with digital investigation tools available in market
Sr Manager • India