Manager - Non-EB Claims/Non-Employee Benefits - Project Insurance

Hiring for the role of Manager - Non-EB Claims (Non-Employee Benefits) - Project Insurance

Job Title: Manager - Non-EB Claims

Location: Bangalore, India

Department: Claims

Experience: 3+ years in Non-EB (Non-Employee Benefits) Claims handling

Industry: Insurance / General Insurance / Health Insurance

Job Summary:

We are looking for an experienced Manager - Non-EB Claims to oversee and manage the claims process for Non-Employee Benefits (Non-EB) insurance policies. The ideal candidate will ensure timely and accurate claim settlements while complying with regulatory requirements and company policies.

Key Responsibilities:

Claims Management:

- Oversee end-to-end processing of Non-EB claims (Motor, Property, Liability, Fire, Marine, etc.).

- Ensure claims are processed efficiently, within SLAs, and complies with industry regulations.

- Monitor claim reserves and settlements, ensuring fair claim evaluation and fraud detection.

Operations & Compliance:

- Implement and maintain standard operating procedures for Non-EB claims handling.

- Ensure compliance with IRDAI regulations, company policies, and legal requirements.

- Coordinate with legal and compliance teams for claim disputes and litigations.

Stakeholder Coordination:

- Work closely with underwriters, brokers, surveyors, and external vendors for claim processing.

- Liaise with customers to provide a seamless claims experience and resolve escalations.

- Collaborate with finance teams for timely claim payments and reconciliations.

Team Leadership:

- Manage and mentor a team of claims executives/associates, ensuring high performance and efficiency.

- Conduct training sessions to enhance team knowledge of Non-EB claims processes.

Data Analysis & Reporting:

- Analyze claim trends, fraud patterns, and loss ratios to drive process improvements.

- Prepare regular reports for senior management, highlighting key claim metrics and challenges.

Key Requirements:

- Education: Graduate/Postgraduate in Insurance, Finance, Business Administration, or related fields.

- Experience: Minimum 3-5 years in claims handling within the general insurance sector, with at least 3 years in a managerial role.

Skills & Competencies:

- Strong knowledge of Non-EB insurance products (Motor, Marine, Property, Liability, etc.).

- Expertise in claims investigation, assessment, and fraud detection.

- Familiarity with IRDAI regulations and legal aspects of claims.

- Proficiency in claims management software/tools.

- Excellent leadership, analytical, and problem-solving skills.

- Strong communication and stakeholder management abilities.

Preferred Qualifications:

- Certifications like Licentiate / Associate / Fellow from Insurance Institute of India.

- Experience in digital claims processing and automation tools.