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Claims Specialist

Claims Specialist

HowdenMumbai, Maharashtra, India
5 days ago
Job description

Job Description

Industry : General Insurance / Insurance Broking / Insurance Surveyor

Location : Mumbai

Experience : 12+ years

Reporting To : Business Head / Vertical Head

Role Summary

The role holder will lead the claims function across all Specialty lines of business, ensuring efficient, compliant, and client-centric claims handling. The role involves strategic overview, operational excellence, and stakeholder management to drive timely and fair claim settlements.

Key Responsibilities

Strategic Leadership

  • Define and implement claims strategy aligned with business goals.
  • Lead and mentor a team of claims professionals.

Claims Operations

  • Oversee end-to-end claims lifecycle across Specialty Claims like BBB, Cyber, Cards, Specie, Professional Indemnity, CGL, Event Cancellation, Loss of Fees, Media and Affinity.
  • Ensure timely documentation, coordination with clients, insurers, surveyors, and regular client updates.
  • Client & Stakeholder Management

  • Act as escalation point for complex or high-value claims.
  • Maintain strong relationships with insurers, surveyors, and clients.
  • Compliance & Governance

  • Ensure adherence to IRDAI regulations and internal SOPs.
  • Handle audits, regulatory reporting, and internal risk controls.
  • Process Improvement

  • Drive automation, analytics, and process optimization.
  • Implement feedback loops for continuous improvement.
  • Candidate Profile

    Education : Graduate / Postgraduate (Insurance certifications like Associate / Fellow from Insurance Institute of India preferred).

    Experience : Minimum 12 years in claims handling, preferably in Insurance broking, PSU / Private insurance company, Insurance Surveyors operations.

    Skills :

  • Strong leadership and communication.
  • Deep understanding of commercial insurance products.
  • Ability to manage high-pressure situations and multiple stakeholders.
  • Should be able to train the team members and improve their skills.
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