JD – Claims Business

Leadership & Operations

- Lead the Commercial Claims function for AP & Telangana, ensuring effective management of claims across:

- Property Insurance

- Marine Insurance

- Engineering Insurance

- Liability Insurance
- Group Health & Personal Accident (where applicable)

- Miscellaneous Commercial Lines
- Ensure timely registration, investigation, assessment, and settlement of claims.
- Monitor claim reserves, outstanding claims, and settlement ratios.
- Drive continuous improvement in claims processes, productivity, and customer experience.
- Review and authorize high-value and complex claims as per delegated authority.

Large Loss & Complex Claims Management

- Personally oversee major, sensitive, and high-severity commercial claims.
- Coordinate with surveyors, forensic experts, loss assessors, legal teams, and reinsurers.
- Ensure accurate liability assessment and effective negotiation leading to optimal claim outcomes.
- Provide strategic direction for catastrophe and large-loss event management.

Customer & Stakeholder Management

- Build and maintain strong relationships with:

- Corporate customers

- Brokers and intermediaries
- Surveyors and third-party service providers
- Regulatory authorities and industry bodies
- Act as the escalation point for critical customer concerns and disputes.
- Drive customer retention through superior claims service delivery.

Governance, Compliance & Risk Management

- Ensure compliance with IRDAI regulations, internal control standards, and company policies.
- Drive fraud prevention and investigation initiatives.
- Maintain strong governance around claims decisions and documentation.




- Monitor legal and regulatory developments impacting claims management.

Performance & Analytics

- Track and improve:

- Turnaround Time (TAT)

- Claims Leakage

- Claims Ratio

- Customer Satisfaction Scores

- Reserve Adequacy

- Productivity Metrics
- Present periodic MIS and business reviews to senior management.
- Leverage analytics for claims trend identification and corrective actions.

Team Leadership

- Lead, mentor, and develop regional claims teams.
- Establish a high-performance culture focused on operational excellence and customer centricity.
- Conduct performance reviews, succession planning, and capability-building initiatives.
- Ensure effective resource allocation across locations in AP & Telangana.

Cross-functional Collaboration

- Partner closely with:

- Underwriting teams

- Risk Engineering

- Sales and Distribution

- Reinsurance

- Legal and Compliance

- Finance
- Support business growth through risk insights and claims feedback.

Educational Qualifications

- Graduate in any discipline.
- Postgraduate qualification in Insurance, Risk Management, Business Administration, or related fields preferred.
- Qualified certifications such as III, ACII, FCII, CPCU, or equivalent will be an added advantage.

Experience

- 12-20+ years of experience in Insurance Claims preferably GI
- At least 8-10 years of leadership experience handling Commercial Claims.
- Proven experience managing Property, Engineering, Marine, Liability, and Large Corporate Claims.
- Experience in handling complex, litigated, and high-severity claims.
- Strong understanding of reinsurance and surveyor management.

Grade: Deputy Vice President (DVP) Location: Hyderabad (with travel across Andhra Pradesh & Telangana as required)

📌 Commercial Claims Manager (Hyderabad)
🏢 Qube Space
📍 Hyderabad