Claims Operations Director

The role is with a leading General Insurance company.

About the Role

The organization is seeking a seasoned Head of Claims to lead its Health Insurance Claims function. The role focuses on driving operational excellence, regulatory compliance, and digital transformation across the claims lifecycle.

Responsibilities

• Lead and enhance claims systems, rule engines, and automated workflows.
• Oversee end-to-end claims operations—from intimation to settlement.
• Guide resolution of complex and high-value claims.
• Drive technology adoption, process automation, and efficiency improvements.
• Ensure full compliance with IRDAI regulations and audit requirements.
• Monitor KPIs, claims performance, and regulatory reporting (IRDAI / IIB).
• Collaborate with underwriting, legal, product, IT, TPAs, and hospitals.
• Manage escalations and ensure superior customer experience.

Qualifications

Required Skills

If you are interested for the same then connect with saloni@rightmatch.co.in - linkedin.Com / in / salonikamdar