- Strategic Leadership: Develop and implement the overall claims management philosophy and strategy for the non-motor department, ensuring alignment with company goals.
- Operational Oversight: Monitor and manage day-to-day claims activities, ensuring efficient processing, timely settlements within agreed-upon Turnaround Times (TAT), and adherence to established processes and KPIs.
- Financial Management & Loss Control: Oversee key financial metrics such as claims settlement ratios and loss minimization efforts. This includes monitoring the Average Cost of Settlement (ACS), negotiating with Average Service Providers (ASPs), and implementing salvage management SOPs to control costs and minimize leakages.
- Compliance & Risk Management: Ensure all claim operations comply with regulatory norms (e.g., IRDAI norms) and internal audit requirements. Implement fraud detection measures and manage associated risks.
- Stakeholder & Relationship Management:
Serve as a primary liaison for internal and external stakeholders, including clients, brokers, legal teams, surveyors/loss adjustors, and TPAs (Third-Party Administrators). Attend client review meetings and manage customer grievances, resolving critical complaints at the highest priority.
- Team Leadership & Development: Guide, direct, and coach the claims team in handling complex and critical claims. Establish performance expectations, conduct training programs, and foster a solid team environment.
- Process Improvement: Identify process gaps through regular audits and drive continuous improvement initiatives. This may include leading projects for system enhancements or automation to optimize workflow efficiency.
- Reporting & Analysis: Prepare and present detailed monthly reports and analytical comments for management and participate in relevant committees to inform decision-making.
📌 Joint Vice President (Maharashtra)
🏢 HDFC ERGO General Insurance
📍 Maharashtra
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