Manager - Claims

Axis Max Life Insurance; Gurugram District; On-site; INR 600,000 - 900,000; Full time

Job summary

Axis Max Life Insurance in India seeks a role focused on Litigation Handling & Case Management. You will manage end-to-end litigation for motor, health, and other claims, track court cases, MACT matters, and consumer disputes, and ensure timely filings of replies and affidavits.

Coordinate with panel advocates and internal teams, review drafts, evaluate claims for defensibility, and provide strategy inputs.

Qualifications

• Strong knowledge of insurance claims and litigation processes.
• Familiarity with MACT, Consumer Protection Act, and civil laws.
• Analytical and decision-making skills.
• Stakeholder management and negotiation abilities.
• Attention to detail and documentation accuracy.
• Ability to manage multiple legal cases simultaneously.

Responsibilities

• Manage end-to-end litigation lifecycle for motor/health/other insurance claims.
• Track court cases, MACT matters, consumer complaints, arbitration, and recovery suits.
• Ensure timely filing of replies, written statements, affidavits, and appeals.
• Maintain litigation MIS and case status updates.
• Coordinate with panel advocates, internal legal team, and external consultants.
• Provide claim documents, investigation reports, and evidence required for legal proceedings.
• Review legal drafts prepared by lawyers before submission.
• Evaluate claims from a legal standpoint to decide defensibility and identify fraudulent or inflated claims.
• Provide litigation strategy inputs for high-value or complex claims.
• Ensure adherence to timelines set by courts, tribunals (MACT), and regulators (IRDAI).
• Monitor case filings, hearings, and judgments.
• Ensure compliance with legal documentation and record-keeping standards.
• Evaluate out-of-court settlement opportunities to reduce litigation costs.
• Negotiate settlements in coordination with legal and claims teams.
• Recommend reserve adjustments based on case developments.
• Prepare litigation MIS reports and analyze trends to improve claim handling processes.
• Highlight high-risk cases to senior management.
• Monitor performance of panel advocates and manage legal expenses.
• Evaluate effectiveness and recommend empanelment/de-empanelment.
• Identify gaps in claims handling leading to litigation and suggest process improvements.

Job description

1. Litigation Handling & Case Management

• Manage end-to-end litigation lifecycle for motor/health/other insurance claims.
• Track court cases, MACT matters, consumer complaints, arbitration, and recovery suits.
• Ensure timely filing of replies, written statements, affidavits, and appeals.
• Maintain litigation MIS and case status updates.

2. Coordination with Legal Teams

• Liaise with panel advocates, internal legal team, and external consultants.
• Provide claim documents, investigation reports, and evidence required for legal proceedings.
• Review legal drafts prepared by lawyers before submission.

3. Claims Analysis for Litigation

• Evaluate claims from a legal standpoint to decide defensibility.
• Identify fraudulent or inflated claims and recommend legal actions.
• Provide litigation strategy inputs for high-value or complex claims.

4. Court & Regulatory Compliance

• Ensure adherence to timelines set by courts, tribunals (MACT), and regulators (IRDAI).
• Monitor case filings, hearings, and judgments.
• Ensure compliance with legal documentation and record-keeping standards.

5. Settlement & Negotiation

• Evaluate out-of-court settlement opportunities to reduce litigation costs.
• Negotiate settlements in coordination with legal and claims teams.
• Recommend reserve adjustments based on case developments.

6. Reporting & MIS

• Prepare litigation MIS reports (case aging, win/loss ratio, provisions).
• Analyze trends in litigation to improve claim handling processes.
• Highlight high-risk cases to senior management.

7. Vendor & Legal Panel Management

• Monitor performance of panel advocates.
• Ensure cost control of legal expenses.
• Evaluate effectiveness and recommend empanelment/de-empanelment.

8. Risk Management & Process Improvement

• Identify gaps in claims handling leading to litigation.
• Recommend process improvements to reduce future litigation.
• Support fraud detection and prevention initiatives.

Key Skills & Competencies

• Strong knowledge of insurance claims and litigation processes
• Familiarity with legal frameworks (MACT, Consumer Protection Act, Civil laws)
• Analytical and decision-making skills
• Stakeholder management and negotiation
• Attention to detail and documentation accuracy
• Ability to manage multiple legal cases simultaneously

Disclaimer: This job posting and Location has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.