Senior Associate

HDFC ERGO General Insurance; Chennai; Sur place; INR 600 000 - 1 000 000; Plein temps

Résumé du poste

HDFC ERGO General Insurance seeks a Senior Associate in Chennai to manage end-to-end claims processes, focusing on control, settlement, and performance targets. The role involves monitoring high-value and orphan cases, coordinating with legal and regulatory teams, and ensuring timely case resolution.

The candidate should bring legal education (LLB) and experience in claims, litigation, or related fields. This is a permanent on-site position based at Chennai, with reporting to the Claims

Qualifications

• LLB is required for this role.
• Legal education aligned with claims management responsibilities.

Responsabilités

• Claim control, settlement, and size management to meet location targets.
• Monitor orphan, high value, and appeal cases; ensure timely closure of cases.
• Maintain ageing of TOC claim below 2 months; review HVC and appeal quarterly.
• Ensure proper implementation of TP module processes and educate users; drive utilisation of mobile app.
• Maintain SOP compliance from registration to payment; conduct regular follow-ups with legal teams.

Connaissances

LLB

Description du poste

Posted On 25 Mar 2026

End Date 25 Mar 2027

Required Experience 0 - 3 years

Basic Section

New Job Title Senior Associate

No. Of Openings 1

Grade E3

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 Litigation & TP claims

Cost Center Code 1418

Department Claims

Function Legal

Business Zone NA

Job Role State Manager

Country India

Region South

State Tamil Nadu

Physical Branch Chennai - Guindy

Branch Code 4302

Type of Office Corporate

Skills

Skill

LLB

CERTIFICATION

Working Language

Job Description

• Claim Control,claims settlement and average claim size, Responsibility to achieve over all targets of the __ Locations. Claim Closure : Death - ___, Injury - ___.
• Monintoring of Orphan, high value & appeal cases,Ensuring timely closure of cases.,Intimation to team leaders & zonal manger on report of high value , appeal and orphan case .Regular follow up with RLMULegal / FCU for investigation report. Maintain the ageing of TOC claim below 2 months.Review of HVC and Appeal Cases quarterly.
• TP Claims success ratio,% (DEW) of cases in favour of the Co.,Over all achievements of DEW___ % of the respective location
• TP Module & Mobile App,Proper implementation of TP module process And education given,Ensure that it should be implemented and advocate to update in system atleast ____% of the allocated. ____% of the advocates to be using the mobile APP
• Claim processing & compliance,Maintain service standard as per the SOP,Ensure minimum of 5% TOC cases counts against O/s but not older than Two months. Ensure timely registration, allocation of brief to advocates and timely review of claims. Ensure SOP compliance right from registration to payment. Ensure periodical meeting and followup with the RLMU team
• Defence Cases,Preparation of case notes for defence cases,Case notes to be _____% of the defence cases and communicated to the advocate
• Attendence and Evidence before Court,proper representation before all proceedings,% of attendence and evidence before the Court out of the case on evidence in defence and High Value cases and Appeal hearings.
• Recovery in claims,Ensure increase in recovery of total recovery claims,Recovery of ____ cases.
• Projects / Additional Responsibilities,Undertake and complete assigned project / additional responsibilities as per defined timeline,Assigned project completion within timeline
• Self development,Soft skills and other training including eQuest,Training program nominated by co. Financials/Output related activities
• Maintain outstanding claims count as per the intimations received
• Pre litigation of TP claims
• Claims to be adequately reserved. Gain/drain on reserve should not be more than 10% of paid amount
• 20% of the cases disposed by way of judgement Customer/Product/Market related activities
• Cordinate with BI for all regulatory reporting
• payment of fees to be made within 7 working days from the date of receipt of the final investigation report in case of investigators and from decision date in case of lawyers. In any case, the payments should not be later than the final loss payment date. Process/Technical related activities
• Registration of claim within 2 working days from intimation
• Appointment of surveyor/ advocate within 2 working days from intimation
• Temporaray Orphan claims to be tracked to policy within 30 days
• To determine the case as compromise/ defence and adequecy of reserve within 15 days of reciept of Investigation report
• Appeals to be filed within limitation period & ensuring stay order in appeals filed by the Company
• Decision on award to be taken within 7 working days from the receipt of the award. Payment to be processed within 2 working days from the date of decision
• Analysis of MIS reports for ensuring bottom line and suggestion on LOB loss ratios
• Final investigation report within 30 days from the date of appointment with quality report
• Submission of Insurance particulars within 15 days in case of TOC claims. Submission of opinion within 3 working days from the receipt of the copy of the award copy with quality inputs
• Maintain confidentiality in data sharing