Manager - Group Claims

A. Position Overview

• Position Title - Manager

• Department - Group Claims

B. Role Summary

1. Responsible for end to end death claim assessment and speedy decisions of all Group Life and Credit Life Death claims with strong eye on risk.
2. Monitoring the TAT for the portfolio along with ensuring no regulatory TAT breach.
3. Client management and services for all clients of the portfolio.
4. Compliance to all Regulatory requirements and delivery in lines with the same.
5. Responsible for quality claim decisions within the agreed product guidelines and SLAs.
6. Understanding trends and liaison with internal stakeholders for exhaustive assessment of documents & facts of claim.
7. Updating information in the claims system.
8. Responsible for all customer communication related to Death claims.
9. Responsible for data management for all reports.
10. Responsible for claims related complaints and walk in customers.
11. Identify areas of improvement and take projects and delivery as per business objective.
12. Noting the trends of red flags, suspicious claims and reporting to management.
13. Providing regular feedback to underwriters on repudiated claims.

C. Organizational Relationships

Reports to - Sr. Manager

D. Job Dimensions

Stakeholders :

Internal - Finance, IT, U/w team, Corporate Sales, CBO, Legal, FIU

External - Investigation agencies, Master Policy Holders, Brokers, Reinsurers

E. Key Result Areas

• Eye for detail in checking claim documents
• Vigilant in proposing the claim decision and updated with market practice
• Updated with the regulations
• Internal SOP to be followed

F. Competencies

• Customer & Consumer Engagement And Experience in a Hybrid World,
• Business Acumen and Domain Knowledge
• Networking and Collaboration
• Change Management Developing,
• Managing &Working with Hybrid Team

G Skills Required

Behavioral -

Essential :

• Interpersonal skills
• Communication skills
• Creative thinking skills
• Supervising/Leadership skills
• Teamwork Skills
• Influencing skills
• Relationship Building skills
• Decision making skills

H Incumbent Characteristics

Essential :

Qualification - Graduate / Post Graduate

Experience - 8-10 years