Deputy Manager - Risk and Loss Mitigation

PeopleStrong; Kolkata District; On-site; INR 900,000 - 1,500,000; Full time

Job summary

HDFC ERGO General Insurance in Kolkata seeks a Deputy Manager to lead risk and loss mitigation. The role focuses on physical investigations, claim verification, and coordinating with hospitals, TPAs, and insurers to prevent fraud and reduce costs.

The candidate will prepare detailed reports, ensure compliance, and present findings for strategic action to management. This is a permanent, on-site position based in Kolkata.

Qualifications

• Physical field investigation of a claim assigned through system.
• Handling physical verification and field visits to hospitals, pharmacies, diagnostic centers, etc., collect evidences and report for further action to insurers and corporates.
• Preparing reports based on findings and guiding on evidence that can stand in court of law.

Responsibilities

• Report submission in CIMA (in-house system used for investigation).
• Maintain cordial relationships with hospitals and TPA desks.
• Ascertain evidence quality as per matrix; validate each piece of evidence with case triggers.
• MIS preparation and report reconciliation.
• Ensure ethics and compliance during investigations.
• Analyze data on utilization and outcomes to identify trends and cost-saving opportunities.
• Present findings to management with recommendations for improvements.

Skills

Graduation

Job description

Deputy Manager - Risk and Loss Mitigation

HDE/JC/17806

• HDFC ERGO General Insurance
• India>East>West Bengal>Kolkata>Kolkata>Kolkata>3101>Corporate

Posted On 08 Sep 2026

End Date 08 Sep 2027

Required Experience 1 - 9 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 East

City Kolkata

Physical Branch Kolkata

Branch Kolkata

Branch Code 3101

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