Manager - Group Claims

Tata AIA Life Insurance; Thane; On-site; INR 1,500,000 - 2,300,000; Full time

Job summary

Tata AIA Life Insurance is seeking a Manager in Group Claims to handle end-to-end death claim assessment for Group Life and Credit Life products, ensuring speedy, compliant decisions with risk awareness.

The role emphasizes monitoring TAT, client management, stakeholder liaison, and adherence to regulatory and SLAs, delivering high-quality outcomes and timely updates to the claims system.

Qualifications

• Graduate/Postgraduate degree required.
• 8–10 years experience in life insurance claims.
• Experience in group life and death claims preferred.

Responsibilities

• End-to-end death claim assessment and timely decisions with risk focus.
• Monitor TAT for portfolio and ensure regulatory compliance.
• Client management and services for all portfolio clients.
• Compliance with regulatory requirements and adherence to SLAs.
• Quality claim decisions within product guidelines and SLAs.
• Understand trends and liaise with internal stakeholders for exhaustive assessment.
• Update information in the claims system and maintain data integrity.
• Handle customer communication related to death claims.
• Data management for all reports and dashboards.
• Address claims-related complaints and walk-in customers.
• Identify improvement areas and drive projects aligned to business objectives.
• Note red flags and report suspicious claims to management.
• Provide regular feedback to underwriters on repudiated claims.

Skills

Interpersonal skills

Communication skills

Creative thinking

Supervising/Leadership

Teamwork

Influencing

Relationship building

Decision making

Education

Graduate / Post Graduate

Job description

A. Position Overview

• Position Title - Manager

• Department - Group Claims

B. Role Summary

1. Responsible for end to end death claim assessment and speedy decisions of all Group Life and Credit Life Death claims with strong eye on risk.
2. Monitoring the TAT for the portfolio along with ensuring no regulatory TAT breach.
3. Client management and services for all clients of the portfolio.
4. Compliance to all Regulatory requirements and delivery in lines with the same.
5. Responsible for quality claim decisions within the agreed product guidelines and SLAs.
6. Understanding trends and liaison with internal stakeholders for exhaustive assessment of documents & facts of claim.
7. Updating information in the claims system.
8. Responsible for all customer communication related to Death claims.
9. Responsible for data management for all reports.
10. Responsible for claims related complaints and walk in customers.
11. Identify areas of improvement and take projects and delivery as per business objective.
12. Noting the trends of red flags, suspicious claims and reporting to management.
13. Providing regular feedback to underwriters on repudiated claims.

C. Organizational Relationships

Reports to - Sr. Manager

D. Job Dimensions

Stakeholders :

Internal - Finance, IT, U/w team, Corporate Sales, CBO, Legal, FIU

External - Investigation agencies, Master Policy Holders, Brokers, Reinsurers

E. Key Result Areas

• Eye for detail in checking claim documents
• Vigilant in proposing the claim decision and updated with market practice
• Updated with the regulations
• Internal SOP to be followed

F. Competencies

• Customer & Consumer Engagement And Experience in a Hybrid World,
• Business Acumen and Domain Knowledge
• Networking and Collaboration
• Change Management Developing,
• Managing & Working with Hybrid Team

G Skills Required

Behavioral -

Essential :

• Interpersonal skills
• Communication skills
• Creative thinking skills
• Supervising/Leadership skills
• Teamwork Skills
• Influencing skills
• Relationship Building skills
• Decision making skills

H Incumbent Characteristics

Essential :

Qualification - Graduate / Post Graduate

Experience - 8-10 years