Deputy Manager - Risk and Loss Mitigation

HDFC ERGO General Insurance; New Delhi; Presencial; INR 900.000 - 1.100.000; Jornada completa

Descripción de la vacante

HDFC ERGO General Insurance in India is seeking a Deputy Manager - Risk and Loss Mitigation to strengthen investigation workflows and ensure compliance across the claims lifecycle.

The role involves leading claim investigation efforts, coordinating with external vendors, and driving data-driven cost savings while maintaining high ethics and regulatory standards. You will report to the Risk and Loss Mitigation function and support identification of operational improvements.

Formación

• Graduation completed.
• Strong analytical skills.
• Good communication abilities.

Responsabilidades

• Manage investigation assignments for claims.
• Allocate claims to vendors with triggers.
• Follow up for IR and TAT management.
• Ensure QC clearance and validate submissions.
• Prepare reports and gather evidence for court.
• Coordinate with claims team and vendors.
• Identify trends and cost-saving opportunities.

Conocimientos

Graduation

Descripción del empleo

Deputy Manager - Risk and Loss Mitigation

HDE/JC/16573

• HDFC ERGO General Insurance
• India>North>Uttar Pradesh>New Delhi>New Delhi - Noida (Back Office)>New Delhi - Noida (Back Office)>1312>Corporate

End Date 12 Jun 2027

Required Experience 1 - 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 Risk and Loss Mitigation

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 TM-FCI

Country India

Region North

Branch Code 1312

Type of Office Corporate

Skills

Skill

Graduation

CERTIFICATION

Working Language

Job Description

Investigation mangement ? Claim Investigation Allocation of assigned claims to respective vendors with case relevant triggers ? Follow up for IR and TAT management ? Level 1 QC clearance & validate the submissions against shared triggers ? Success in claim investigation based upon strong medical & legal evidences ? 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 and coordination with claims team. ? Evidence Matrix Assurance Ascertain evidence quality as per matrix Validate each & every evidence with the case triggers ? Escalation Management ? Payment reconciliation with Vendors Project tracking Vendor Management Vendor Empanelment & Training & Development ? Ensure the ethics and compliance during managing the external investigators and self- investigation of cases ? Vendor Payment Reconciliation ? Handling physical verification, field visits to hospitals, pharmacies, diagnostic centers etc, collect evidences and report for further action to Insurers, Corporates etc. ? Analyze data on utilization, outcomes and costs 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. ? Desktop Investigation Trigger identification through data at intimation/Referral stage ? Social media searches ? Cold calling using digital platforms Identify key business people, link analysi