Asst. Manager - Group Ops Claim SC

ICICI Prudential Life Insurance; Mumbai; On-site; INR 900,000 - 1,300,000; Full time

Job summary

ICICI Prudential Life Insurance in Mumbai seeks a specialist to manage end-to-end reinsurance claims reporting, regulatory reporting, MIS, data validation and reconciliation, ensuring timely submissions to reinsurers, regulators and internal stakeholders.

You will coordinate with Claims, Finance, Underwriting, Operations and Reinsurance teams, maintain audit trails, monitor regulatory changes, and support audits.

Qualifications

• Experience in reinsurance reporting and regulatory reporting.
• Knowledge of IRDAI regulations and guidance is desirable.
• Ability to validate data, maintain audit trails and support regulatory submissions.

Responsibilities

• Manage end-to-end reinsurance claims reporting across products and reinsurers.
• Prepare and submit periodic reinsurance reports, statements and MIS within timelines.
• Ensure accurate calculation and reporting of reinsurance recoveries and outstanding amounts.
• Reconcile reinsurance data with internal claims, finance and policy systems.
• Coordinate with Claims, Finance, Underwriting, Operations and Reinsurance teams to resolve data discrepancies.
• Coordinate with reinsurers for claim documentation, queries, recoveries and settlement status.
• Prepare and coordinate periodic regulatory reports/returns relating to claims and reinsurance.
• Validate reporting data against sources and financial records.
• Maintain documentation and audit trails supporting regulatory submissions.
• Monitor regulatory guideline changes and assess impact on reporting processes.
• Support internal, statutory and regulatory audits with required data.

Skills

Timely reporting

Regulatory reporting

Data reconciliation

Data governance

Stakeholder coordination

Audit readiness

Process improvement

Job description

Job Description Reinsurance Claims &Regulatory Reporting

Department Operations

Function Claims

Reportingto Sr. Manager

To manage reinsurance claims reporting, regulatoryreporting, MIS, data validation and reconciliation, ensuring accurate andtimely submission of information to reinsurers, regulators and internalstakeholders. The role will also support compliance with applicable regulatoryrequirements, internal controls and reporting timelines.

KeyResponsibilities

• Manage end-to-end reinsurance claims reporting andmonitoring across products and reinsurers.
• Prepare and submit periodic reinsurance claimsreports, statements and MIS within defined timelines.
• Ensure accurate calculation and reporting ofreinsurance recoveries and outstanding amounts.
• Reconcile reinsurance claims data with internalclaims, finance and policy systems.
• Coordinate with Claims, Finance, Underwriting,Operations and Reinsurance teams to resolve data discrepancies andclaim-related queries.
• Coordinate with reinsurers for claim documentation,queries, recoveries and settlement status.

2. Regulatory Reporting

• Prepare and coordinate periodic regulatoryreports/returns relating to claims, reinsurance and other applicable businessparameters.
• Ensure reports are accurate, complete and submittedwithin prescribed regulatory timelines.
• Validate regulatory reporting data against sourcesystems, financial records and internal MIS.
• Coordinate with relevant functions for datacollation, validation, certification and submission.
• Monitor changes in applicable regulatoryguidelines, reporting formats and requirements and assess their impact onreporting processes.
• Maintain appropriate documentation, workings andaudit trails supporting regulatory submissions.
• Support responses to regulatory queries,inspections and information requests relating to claims and reinsurancereporting.

3. Data Governance & Reconciliation

• Perform detailed data validation, reconciliationand quality checks before submission of reports.
• Identify data gaps, inconsistencies and exceptionsand ensure timely resolution.
• Maintain robust reporting controls to minimiseerrors, omissions and duplicate reporting.
• Develop and maintain reporting trackers, dashboardsand exception reports.
• Ensure consistency between claims, reinsurance,finance and regulatory reporting data.

4. Compliance & Governance

• Ensure adherence to applicable IRDAI regulations,circulars, guidelines, internal policies and SOPs relevant to the role.
• Support internal, statutory and regulatory auditsby providing required data and documentation.

Skills

• 100% timely submissionof applicable regulatory and reinsurance reports.
• Accuracy and completenessof regulatory submissions.
• Accuracy and timelyreconciliation of reinsurance claims data.
• Timely processing andmonitoring of reinsurance recoveries.
• Reduction in reportingerrors, exceptions and data discrepancies.
• Timely closure ofaudit and compliance observations.
• Effective tracking andresolution of regulatory/reinsurer queries.
• Improvement inreporting automation and process efficiency.