Claims Insurance Manager

Purplepond Financial Services; Chennai District; On-site; INR 1,500,000 - 2,200,000; Full time

Benefits offered by this job

Competitive salary

Health insurance

Professional development

Inclusive work environment

Job summary

Purplepond Financial Services in Chennai (T. Nagar) seeks a Manager – Insurance Claims with 6-10 years of experience to lead the end-to-end claims function, ensure regulatory compliance, and drive process excellence in a fast-paced environment.

Responsibilities include reviewing and processing OD/TP claims, coordinating with insurers, TPAs, and surveyors; mentoring the claims team; delivering timely settlements and MIS reporting; and upholding superior customer experience.

Qualifications

• Bachelor's degree preferred in commerce, finance, economics, or related field.
• 6-10 years of experience in Insurance Claims, with 2-3 years in a team lead or managerial role.
• Experience handling insurer relationships, surveyors, garages, and TPAs.
• Strong leadership, decision-making, problem-solving, and stakeholder management skills.
• Excellent communication, negotiation, and interpersonal abilities.
• Proficiency in MS Office, claims management software, and MIS reporting.
• Ability to manage multiple priorities in a fast-paced environment.

Responsibilities

• Review, assess, and process OD and TP insurance claims per policies; verify documentation.
• Communicate with policyholders, garages, and stakeholders to resolve queries and provide updates.
• Ensure claims are documented per IRDAI regulations and internal audits; adhere to SLAs and TATs.
• Coordinate with underwriters, legal teams, surveyors, repair workshops, TPAs and insurers.
• Assist in preparing claims MIS reports and analyze trends for process improvement.
• Lead, mentor, and develop the Insurance Claims team; monitor KPIs and conduct performance reviews.

Skills

Team leadership

Stakeholder management

Communication skills

Negotiation

Education

Bachelor's degree in commerce/finance/economics

Tools

MS Office

Claims management software

MIS reporting

Job description

Job Title: Manager Insurance Claims

Location: Chennai - T.Nagar (Work from Office)

Experience: 6-10 Years of experience in Insurance Claims Management, with proven team handling experience. Experience with General Insurance Companies, Insurance Brokers, or TPAs is preferred.

Company Overview:

PurplePond is a customer centric, principle-oriented company committed to providing comprehensive 360-degree financial planning solutions to our clients. We specialize in guiding individuals and organizations towards achieving their financial goals through strategic financial planning. As we continue to expand our team, we are seeking a highly motivated and skilled Executive to join our ranks.

Role Overview:

The Manager – Insurance Claims will be responsible for leading the end-to-end insurance claims function, ensuring efficient claim processing, regulatory compliance, operational excellence, and superior customer experience. The role involves managing a team, collaborating with insurers and stakeholders, monitoring key performance indicators, and driving continuous process improvements while ensuring timely and accurate claim settlements.

Key Responsibilities:

• Claims Processing: Review, assess, and process insurance claims (OD and TP) in line with company policies. Scrutinize documentation for completeness and accuracy. Coordinate with surveyors and assessors for claim verification and damage assessment.Handle claim settlement deviations and coordinate with TPAs and insurance companies to resolve deviations and ensure appropriate claim closure.
• Customer Service: Communicate with policyholders, garages, and other stakeholders to resolve queries. Handle customer queries and resolve claim-related issues effectively, ensuring a smooth and satisfactory claims experience. Provide timely updates to customers regarding claim status. Handle grievances and elevate complex issues when necessary.
• Documentation & Compliance: Ensure all claims are documented and filed as per IRDAI regulations and internal audit requirements. Maintain accurate claim records in the system. Adhere to service level agreements (SLAs) and turnaround time (TAT) targets.
• Liaison & Coordination: Work closely with underwriters, legal teams, surveyors, and repair workshops. Coordinate with TPAs and insurance companies on claim-related matters, including settlement deviations, escalations, and resolution of complex claims.Support investigations for fraud detection or disputed claims.
• Reporting and Analysis: Assist in preparing claims MIS reports for management. Analyze claim trends and provide feedback for process improvement.
• Team Leadership & People Management: Lead, mentor, and develop the Insurance Claims team to achieve operational and service excellence. Conduct regular performance reviews, coaching sessions, and training programs. Allocate work effectively and monitor team performance against established KPIs.

Qualifications:

• Any bachelor's degree preferred in commerce, Finance, Economics, or a related field.
• 6-10 years of experience in Insurance Claims, with at least 2-3 years in a Team Lead or Managerial role
• Experience in handling insurer relationships, surveyors, garages, and TPAs.
• Strong experience in handling customer queries, claim-related escalations, and settlement deviations with TPAs and insurance companies.
• Excellent leadership, decision-making, problem-solving, and stakeholder management skills.
• Strong communication, negotiation, and interpersonal abilities.
• Proficiency in MS Office, claims management software, and MIS reporting.
• Ability to manage multiple priorities in a fast-paced environment.

Benefits:

• Competitive salary with performance-based bonuses.
• Comprehensive health insurance, Life insurance, disability and retirement benefits.
• Ongoing professional development opportunities.
• Collaborative, unbiased and inclusive work environment.