Manager - Claims

• Manage end-to-end litigation lifecycle for motor/health/other insurance claims.
• Track court cases, MACT matters, consumer complaints, arbitration, and recovery suits.
• Ensure timely filing of replies, written statements, affidavits, and appeals.
• Maintain litigation MIS and case status updates.

• Liaise with panel advocates, internal legal team, and external consultants.
• Provide claim documents, investigation reports, and evidence required for legal proceedings.
• Review legal drafts prepared by lawyers before submission.

• Evaluate claims from a legal standpoint to decide defensibility.
• Identify fraudulent or inflated claims and recommend legal actions.
• Provide litigation strategy inputs for high-value or complex claims.

• Ensure adherence to timelines set by courts, tribunals (MACT), and regulators (IRDAI).
• Monitor case filings, hearings, and judgments.
• Ensure compliance with legal documentation and record-keeping standards.

• Evaluate out-of-court settlement opportunities to reduce litigation costs.
• Negotiate settlements in coordination with legal and claims teams.
• Recommend reserve adjustments based on case developments.

• Prepare litigation MIS reports (case aging, win/loss ratio, provisions).
• Analyze trends in litigation to improve claim handling processes.
• Highlight high-risk cases to senior management.

• Monitor performance of panel advocates.
• Ensure cost control of legal expenses.
• Evaluate effectiveness and recommend empanelment/de-empanelment.

• Identify gaps in claims handling leading to litigation.
• Recommend process improvements to reduce future litigation.
• Support fraud detection and prevention initiatives.

• Strong knowledge of insurance claims and litigation processes
• Familiarity with legal frameworks (MACT, Consumer Protection Act, Civil laws)
• Analytical and decision-making skills
• Stakeholder management and negotiation
• Attention to detail and documentation accuracy
• Ability to manage multiple legal cases simultaneously

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