Role & responsibilities:
Oversee end-to-end motor claims processing intimation, registration, documentation, and settlement — across assigned branches/regions.
Review and validate surveyor reports to assess the legitimacy and accuracy of motor vehicle accident claims.
Monitor claim admissibility by verifying policy coverage and ensuring adherence to underwriting terms.
Coordinate with field surveyors, workshops, and regional teams for timely vehicle inspections and estimate reviews.
Review repair estimates, validate technical accuracy, and negotiate with garages/workshops to control repair costs.
Scrutinize claim documents to identify discrepancies, inconsistencies, or potential fraud indicators; escalate to the investigation team as needed.
Ensure claims are processed and settlement notes prepared within defined Turnaround Time (TAT).
Drive compliance with IRDAI regulations and internal claims policies across all handled claims.
Track and report claims MIS — volumes, TAT adherence, leakage, fraud trends, and settlement ratios — to senior management.
Liaise with cross-functional teams (Underwriting, Legal, Finance) on high-value or contested claims.
Support process improvement initiatives and standardization of claims assessment methodology across the network.
Mentor and guide branch-level claims executives/assessors on quality and compliance standards.
📌 Manager Motor Claims Mumbai
🏢 TATA AIG General Insurance Company
📍 Mumbai
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