Central Coordinator (Motor Own Damage Claims)

Role & responsibilities

Motor OD Claims Investigation & Quality Control

• Monitor and review Pan India Motor OD claims investigations to ensure quality, consistency, and compliance with company guidelines.
• Analyze investigation reports and recommend corrective actions for process improvement.
• Ensure adherence to established investigation and fraud control protocols.

Risk Assessment & Fraud Control

• Identify, analyze, and assess risks associated with Motor OD claims.
• Detect suspicious claim patterns and potential fraud indicators.
• Develop and implement fraud prevention strategies to minimize claim leakages and financial losses.
• Support risk management initiatives and loss minimization programs.

Trigger Management & Process Enhancement

• Coordinate with Claims, Underwriting, Investigation, and other internal stakeholders to review existing claim investigation triggers.
• Recommend and implement new triggers based on emerging fraud trends, claims experience, and operational insights.
• Continuously improve fraud detection frameworks and control mechanisms.

Data Analysis & Auditing

• Conduct data audits to identify anomalies, trends, and exceptions in claims data.
• Collaborate with Data Analytics teams to derive actionable insights for risk mitigation.
• Prepare MIS reports, dashboards, and analytical presentations for management review.

System Development & UAT

• Work closely with IT teams for system enhancements, automation initiatives, and process improvements.
• Prepare business requirements for technology solutions.
• Perform User Acceptance Testing (UAT) and ensure successful implementation of system changes.

Vendor Management

• Build and maintain effective relationships with investigators, surveyors, and other external partners.
• Monitor vendor performance and service quality.
• Ensure adherence to company standards and SLAs.

Team Coordination & Leadership

• Guide and support investigation teams on quality standards and fraud management practices.
• Encourage collaboration and knowledge sharing across teams.
• Drive a culture of accountability, continuous improvement, and operational excellence.

Problem Solving & Decision Support

• Investigate complex claims scenarios and recommend suitable resolutions.
• Provide analytical support for high-risk and suspicious claim cases.
• Contribute to strategic initiatives related to claims efficiency and fraud management.

Preferred candidate profile

Qualifications

• Graduation/Post Graduation
• Certifications in Insurance, Risk Management, Fraud Investigation, or Analytics will be an added advantage.