Deputy Manager - Risk and Loss Mitigation

HDFC ERGO General Insurance; NTR; On-site; INR 1,200,000 - 2,000,000; Full time

Job summary

HDFC ERGO General Insurance invites applications for the role of Deputy Manager - Risk and Loss Mitigation at the Vijaywada Branch, Vijaywada, Andhra Pradesh, India. The position is permanent with 0–5 years of experience, posting opened for a single role.

The job involves physical investigations of claims, field visits to hospitals and related facilities, evidence gathering, reporting, and ensuring compliance with ethical standards. End date 10 Sep 2027.

Qualifications

• Medical graduates such as BAMS/BHMS/BPT or BDS with Health insurance industry experience, preferably in claims investigation/ processing.
• Excel and computer proficiency.

Responsibilities

• Physical field investigation of claims assigned through the system.
• 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

Education

Medical Graduates such as BAMS/BHMS/BPT or BDS

Tools

Excel

Job description

Deputy Manager - Risk and Loss Mitigation

HDE/JC/17837

• HDFC ERGO General Insurance
• India>South>Andhra Pradesh>Vijaywada>Vijaywada>Vijaywada>4205>Branch

Posted On 10 Sep 2026

End Date 10 Sep 2027

Required Experience 0 - 5 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 Andhra Pradesh

Physical Branch Vijaywada

Branch Code 4205

Type of Office Branch

Skills

Skill

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

Required Qualifications:

• Medical Graduates such as BAMS/BHMS/BPT or BDS with working experience of Health insurance industry preferably with Claims investigation/ processing experience
• Excel and computer