Job DescriptionThe 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.
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- Lead claims strategy across Retail (Health) and Corporate (GMC, GPA, GTL & GI) portfolios.n
- Establish broker-driven SOPs, escalation frameworks, and TAT benchmarks.n
- Oversee complex retail claims including repudiations, deductions, and grievance redressals.n
- Manage corporate employee benefit claims including large losses, ICU cases, and CXO-level escalations.n
- Negotiate corporate buffers, special approvals, and business-call settlements with insurers.n
- Act as the senior broker interface with insurers, TPAs, and key hospital networks.n
- Drive claims MIS, loss ratio analysis, ageing reports, and renewal-support insights.n
- Support cross-sell initiatives including OPD, top-ups, wellness, and AHC solutions.n
- Lead, mentor, and scale retail and corporate claims teams with clear KPIs and accountabilityn
📌 Claims Head (Thane)
🏢 Livlong 365
📍 Thane
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