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Bandhan Life Insurance Limited in Mumbai seeks an experienced claims professional to lead claims management and drive system improvements for efficient processing. You will coordinate with multiple functions to streamline processes, ensure accuracy, and support audits and regulatory requirements.
The role involves stakeholder engagement, MIS reporting, and people management to build a high-performing claims team, while aligning with product terms and risk controls.
5 - 7 Years
Permanent
Bandhan Life is your trusted partner in financial security, making everyIndian household financially secure. As a part of the renowned Bandhan Group,we are bolstering our collaborative strengths of digital innovation and robustdistribution to enhance the value for all our stakeholders. Welcome to a newera of insurance, where growth, innovation, customer, and employee welfare areparamount.
1.Claims Management: Managing Individual riderclaim & Group Affinity claims, ensuring
all genuine claims are paid accurately and speedily to provide seamlessexperience to
the claimant
2. System development: Accountable for ensuringthe development of system
functionalities, providing clear, detailed user stories and requirements forfunctionalities
needed to ensure the smooth operation of claim processes. This helps drive
automation, eliminate manual interventions, minimizing the risk of errors, and ensure
compliance with product terms and conditions as well as regulatoryrequirements.
3. Stakeholder management: Connect withCMO/Underwriting/ Legal/ Finance/Customer
Service/IT as required for claim processing for seamless experience to customerduring
entire claims journey
4. Re-insurance management: Managing Reinsurancesupport and co-ordination for
processing and settlement of Claims and for Reinsurance reporting
5. Audit management: Accountable for managing allaudits related to the claims function,
including providing comprehensive process walk-throughs and detailedrequirements to
auditors. This ensures transparency, adherence to internal controls, andcompliance
with regulatory and audit standards.
6. FFA Migration: SPOC for migration- relatedactivities, responsible for sharing detailed
requirements, test cases, artefacts testing as well as conducting thoroughtesting and
providing sign-off to ensure smooth system migration and accurate claimprocessing
7. MIS management: Accountable for sharing monthlyclaims reports with Finance and
Actuarial teams, monthly reconciliations with the Finance team to ensure dataaccuracy
for financial and regulatory reporting. Ensure timely and accurate preparationand
submission of financial and regulatory reports, maintaining full compliancewith all
regulatory requirements to avoid discrepancies or escalations from regulatorybodies
8. SOP management: Ensure functional SOPs arealways updated with the claim
processes.
9. People management: Responsible to train teammembers for claim processing skills,
impart domain knowledge and provide assistance to enable them to effectivelyexecute
their roles and responsibilities
10. Reportingmanagement: Responsible for the automation and availability of data fields
on QuickSight, ensuring claims data is readily accessible for analysis andpresentation
to key stakeholders. This enables meaningful insights into the volume, trends,and
types of claims received by the organization.
11. Product development: Responsible for sharing detailed requirementsas per product
specifications to product team. Responsible for co-ordination with IT fordevelopment of Day 2 product features
Updated Date
15-10-2026
Job ID
Job_00772
Department
Claims