Commercial Claims Manager

JD – Claims Business

Leadership & Operations

• Lead the Commercial Claims function for AP & Telangana, ensuring effective management of claims across:
• Property Insurance
• Marine Insurance
• Engineering Insurance
• Liability Insurance
• Group Health & Personal Accident (where applicable)
• Miscellaneous Commercial Lines
• Ensure timely registration, investigation, assessment, and settlement of claims.
• Monitor claim reserves, outstanding claims, and settlement ratios.
• Drive continuous improvement in claims processes, productivity, and customer experience.
• Review and authorize high-value and complex claims as per delegated authority.

Large Loss & Complex Claims Management

• Personally oversee major, sensitive, and high-severity commercial claims.
• Coordinate with surveyors, forensic experts, loss assessors, legal teams, and reinsurers.
• Ensure accurate liability assessment and effective negotiation leading to optimal claim outcomes.
• Provide strategic direction for catastrophe and large-loss event management.

Customer & Stakeholder Management

• Build and maintain strong relationships with:
• Corporate customers
• Brokers and intermediaries
• Surveyors and third-party service providers
• Regulatory authorities and industry bodies
• Act as the escalation point for critical customer concerns and disputes.
• Drive customer retention through superior claims service delivery.

Governance, Compliance & Risk Management

• Ensure compliance with IRDAI regulations, internal control standards, and company policies.
• Drive fraud prevention and investigation initiatives.
• Maintain strong governance around claims decisions and documentation.
• Monitor legal and regulatory developments impacting claims management.

Performance & Analytics

• Track and improve:
• Turnaround Time (TAT)
• Claims Leakage
• Claims Ratio
• Customer Satisfaction Scores
• Reserve Adequacy
• Productivity Metrics
• Present periodic MIS and business reviews to senior management.
• Leverage analytics for claims trend identification and corrective actions.

Team Leadership

• Lead, mentor, and develop regional claims teams.
• Establish a high-performance culture focused on operational excellence and customer centricity.
• Conduct performance reviews, succession planning, and capability-building initiatives.
• Ensure effective resource allocation across locations in AP & Telangana.

Cross-functional Collaboration

• Partner closely with:
• Underwriting teams
• Risk Engineering
• Sales and Distribution
• Reinsurance
• Legal and Compliance
• Finance
• Support business growth through risk insights and claims feedback.

Educational Qualifications

• Graduate in any discipline.
• Postgraduate qualification in Insurance, Risk Management, Business Administration, or related fields preferred.
• Professional certifications such as III, ACII, FCII, CPCU, or equivalent will be an added advantage.

Experience

• 12-20+ years of experience in Insurance Claims preferably GI
• At least 8-10 years of leadership experience handling Commercial Claims.
• Proven experience managing Property, Engineering, Marine, Liability, and Large Corporate Claims.
• Experience in handling complex, litigated, and high-severity claims.
• Strong understanding of reinsurance and surveyor management.

Grade: Deputy Vice President (DVP)
Location: Hyderabad (with travel across Andhra Pradesh & Telangana as required)