06 Aug
|
Livlong 365
|
Thane
The Head – Claims will lead end-to-end Retail and Corporate Claims operations with a solid broker-first mindset. The role preferably requires prior experience in an insurance broking environment, managing multi-insurer portfolios and acting as the customer’s primary advocate while ensuring policy and regulatory compliance.
Lead claims strategy across Retail (Health) and Corporate (GMC, GPA, GTL & GI) portfolios.
Establish broker-driven SOPs, escalation frameworks, and TAT benchmarks.
Oversee complex retail claims including repudiations, deductions, and grievance redressals.
Manage corporate employee benefit claims including large losses, ICU cases, and CXO-level escalations.
Negotiate corporate buffers, special approvals, and business-call settlements with insurers.
Act as the senior broker interface with insurers, TPAs, and key hospital networks.
Drive claims MIS, loss ratio analysis, ageing reports, and renewal-support insights.
Support cross-sell initiatives including OPD, top-ups, wellness, and AHC solutions.
Lead, mentor, and scale retail and corporate claims teams with clear KPIs and accountability
📌 Claims Executive (Retail) (Thane)
🏢 Livlong 365
📍 Thane