Job Purpose
Responsible for all Claims deliverables by managing the Claims function for the assigned business.

The role includes managing the assigned specialized business handling of any one or more of the following activities:

Claims – Processing & Monitoring of Indemnity and Fixed Benefit Claims & In-house & TPA processed claims.Products Development – Providing Support on various claims related aspect to Product development team.System Development – Key Role in development of In-house Claim Process System, responsible for System UAT.TPA Management – Monitoring Group Claim Process, QC & TAT. Responsible for TPA performance measurement, Portfolio Analysis. Doing Root Cause Analysis of portfolio performance, Claims analysis, Monitor Claims team performance metrics.Address complaints/queries from Customers, Intermediaries, Sales, other departments within the Company, Audit Training / BCP / Risk, Review, MIS / Compliance.

Job Context & Major Challenges
Job Context: /Job Challenges:





Health insurance is a new and complex business with a combination of health and wellness initiatives. The business model requires the team to understand and deliver superior customer experience along with being cost effective and also having a scalable business model.

The unique challenges of the business require close review and management of Underwriting and Claims to deliver the purpose of the business effectively.Distribution: How we create specific distribution models to penetrate different market segments remains a challenge. Motivation to channel partners to place business with the co. Activate and manage agent based distribution channel across the countryLong term and short term strategic plans to increase the market share and profitability in line with the company’s business objectives. Identifying new segments, structure offerings, and value enhancers apart from creating differentiators’ remains a big challenge for the company’s growth. Meeting diverse client’s expectation in

📌 Deputy Manager-Claims (Telangana)
🏢 Aditya Birla Capital
📍 Telangana