Overview
Manager, Investigation Claims based out of Corporate Office, Mumbai.
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.
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.
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/defense).
– 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.