Basic Details: Fill the required information about business, unit, location, position, reports to position and date of updation of JD

Business
Financial Service - HO
Unit
Aditya Birla Health Insurance Company Ltd
Location
Thane
Poornata Position Number of the job

Reports to: Poornata Position Number

Poornata Position Title of the job (30 characters max)

Reports to: Poornata Position Title

Function
Services Operations
Reports to: Function
Financial Service Operations
Department
Ops - Claims
Reports to: Department
Ops - Claims
Designation of the Employee
Team Member – Claims Control
Designation of the Manager
Head – Claims Control
Date of writing/updation of JD
20th Apr 2026

1) Job Purpose: Write the purpose for which the job exists (in 2-3 lines) (Max 1325 Characters)

The role is responsible for establishing and maintaining a robust claims control framework that ensures regulatory compliance, quality assurance, and risk mitigation across the claims process.
It drives governance through audits, fraud prevention, and leakage control, while leveraging MIS,



analytics, and dashboards to provide actionable insights. The position also focuses on continuous process improvement and automation, enabling efficiency, transparency, and adherence to industry standards in claims management.

2) Dimensions: Mention quantitative or qualitative parameters that are relevant for the job and provide a better understanding of the scope and scale of the job.
Business Workforce Number
(Max 254 Characters)
7000
Unit Workforce Number
(Max 254 Characters)
7000
Function Workforce Number
(Max 254 Characters)
700
Department Workforce Number
(Max 254 Characters)
260
Other Quantitative and Significant Parameters for the job: Budgets/ Volumes/No. of Products/Geography/ Markets/ Customers or any other parameter

3) Job Context & Major Challenges: Write the specific aspects of the job that provide a challenge (internal and external) to the jobholder in the context of the Business/Unit/Function/De

📌 Team Member- Claim Control (Thane)
🏢 Financial services
📍 Thane