Investigations Manager, Claims (General insurance) Mumbai

Sr No

Particular

JD for Investigations Manager, Claims

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Job Position

Manager, Investigation - Claims based out of Corporate Office, Mumbai

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Job Brief

Manager to oversee investigations for claims (Legal-TP Claims/ WC claims/ OD claims, PA Claims, Theft Claims & Health Claims, Commercial claims) of our GI business. The successful candidate will effectively ensure investigation conformity and minimize probability of exposure

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Academic Qualification

Must be a graduate from a recognized institution or university. Law Graduate (LLB or LLM) + III pass out will be the first choice

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Required Experience / Key responsibilities

Candidate must be experienced with 5 to 7 yrs in General Insurance Industry - specially in claims investigation field

Experience in handling team (minimum 02 member) with minimum exposure of Zonal portfolio

Exposure in dealing with MACT / Third Party Claims & WC matters, PA claims, Health claims, OD claims & Theft Claims investigation

Candidate must have good drafting skills as well as communication skills

Candidate must have well experience in recovery procedure (Pay & Recovery Legal Claims & Theft vehicle recovery)

Experience in handling for & against litigations before various courts arising out of claims (civil, criminal etc..)

Candidate should have well conversant about latest laws pertaining to Insurance Laws, Criminal law & Indian Evidence Act

Experience in handling Advocates & Investigators : (1) Vetting of relevant applications whenever requires in best interest of the company (2) review of investigation report to conclude/ quantify cases into respective categories (settleable/contest/defence) 

Must be conversant with MS office for day-to-day activities & maintaining required MIS to extract important/effective details

Experience in adducing evidence to defend the matters rigorously & to safeguard company's interest whenever required

Experience in handling Criminal proceedings before Police authority or action required before RTO authority or subsequent authority whenever required