Role & responsibilities:

- Claims Operations Management o Oversee the end-to-end claims process, from initial notification to final settlement. o Establish and monitor claims procedures to ensure accuracy, fairness, and efficiency. o Review and approve large or complex claims.
- Team Leadership o Manage, mentor, and train claims staff to ensure high performance. o Set performance goals, conduct regular reviews, and address performance gaps. o Foster a team-oriented and customer-centric culture within the team.
- Compliance and Risk Management o Ensure all claims are processed in accordance with applicable laws, regulations, and company policies. o Identify and mitigate potential fraud or compliance risks. o Maintain thorough and accurate documentation for audit purposes.
- Customer Service o Act as an escalation point for complex or sensitive claims. o Ensure claims are resolved promptly, maintaining high levels of customer satisfaction. o Communicate effectively with claimants, clients, and stakeholders.




- Data Analysis and Reporting o Analyze claims data to identify trends, cost drivers, and areas for improvement. o Prepare detailed reports for senior management, highlighting performance metrics and risks. o Use insights to develop strategies to reduce claim frequency and cost.
- Continuous Improvement o Implement process improvements to enhance efficiency and accuracy. o Stay updated on industry trends and advancements in claims technology.

Preferred candidate profile

- Good Communication Skills.

- Must have good hands-on experience in MS Excel.

- Communicate & Coordinate with PAN India sales team.

- Needs to do program calculation of distributor & channel partners.

- Follow up & coordinate with internal/interconnected departments for the required details.
- Reconciliation of Distributor & Partner Claims.

- Task Prioritization, Offering Guidance, Mentorship & Providing Resources and Tools.

📌 Associate Manager//Sr. Executive-Sales Administration- Mumbai
🏢 Smart Source
📍 Mumbai