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

20 th Apr 2026

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.

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 Key Parameters for the job: Budgets/ Volumes/No. of Products/Geography/ Markets/ Customers or any other parameter

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

📌 Team Member- Claim Control (India)
🏢 Aditya Birla Health Insurance Company
📍 India