Deputy Manager - Risk and Loss Mitigation

PeopleStrong; Ernakulam; On-site; INR 600,000 - 1,200,000; Full time

Job summary

HDFC ERGO General Insurance seeks a Deputy Manager for Risk and Loss Mitigation to oversee field investigations of claims from Cochin. The role involves coordinating with hospitals, TPAs, and insurers, and ensuring compliance and evidence quality for fraud detection.

The candidate will manage end-to-end investigations, prepare reports, and present findings to management for cost-saving measures and process improvements.

Qualifications

• Graduation as basic qualification.

Responsibilities

• Physical field investigation of claims assigned through system.
• Handling physical verification and field visits to hospitals, pharmacies, diagnostic centers, collect evidences and report for action to insurers and corporates.
• Preparing reports based on findings and guiding gathering and analyzing facts to develop evidence for court.
• Report submission in CIMA (in-house system).
• Maintain healthy and cordial relationships with hospitals and TPA desk.
• Ascertain evidence quality per matrix and validate against case triggers.
• MIS preparation and report reconciliation.
• Ensure ethics and compliance during investigations.
• Analyze data on utilization to identify trends and cost-saving opportunities.
• Present findings to management with proposed solutions and actionable items.

Skills

Graduation

Job description

Deputy Manager - Risk and Loss Mitigatio...

Deputy Manager - Risk and Loss Mitigatio...

HDE/JC/17814

• HDFC ERGO General Insurance
• India>South>Kerala>Cochin>Cochin>Cochin>4101>Corporate

Posted On 08 Sep 2026

End Date 08 Sep 2027

Required Experience 0 - 4 years

Basic Section

New Job Title Deputy Manager - Risk and Loss Mitigation

No. Of Openings 1

Grade JM2

Campus/Non Campus Non Campus

Employment Type Permanent

Organisational

Company HDFC ERGO General Insurance

Legal Entity HDFC ERGO General Insurance

SBU/ Channel Enabling Function

Business Function Non Sales

Cost Center Risk and Loss Mitigation

Cost Center Code 1671

Department Risk and Loss Mitigation

Function Risk and Loss Mitigation

Business Zone NA

Job Role Team Member

Country India

Region South

State Kerala

Physical Branch Cochin

Branch Code 4101

Type of Office Corporate

Skills

Skill

Graduation

CERTIFICATION

Working Language

Job Description

Physical field Investigation of claim assigned through system.

Handling physical verification, field visits to hospitals, pharmacies, diagnostic centers etc, collect evidences and report for further action to Insurers, Corporates etc.

Preparing reports based on findings and observations and guide / Gathering and Analyzing the facts and developing & creating evidence which stands in court of law

Report submission in CIMA (In house system that is being used for Investigation)

Maintain healthy and cordial relationship with hospitals and TPA desk.

Ascertain evidence quality as per matrix Validate each & every evidence with the case triggers

MIS preparation and report reconciliation

Ensure the ethics and compliance while investigating a claim

Analyze data on utilization, outcomes to determine trends and identify problem areas.

Present findings to the management, which may include reviews, proposed solutions, and implementation of long- and short-term solutions for improvements in claim processing and cost savings.

Identification of Hospitals / individuals involved in malpractices to create database

Escalation & Grievance Management for the investigated cases

Filing of police complaints and liaising with the police authorities for taking necessary action against fraudulent individuals / hospital and others