Senior Executive - Risk and Loss Mitigation

HDFC ERGO General Insurance; Indore District; Presencial; INR 450.000 - 750.000; Tempo integral

Resumo da vaga

HDFC ERGO General Insurance invites applications for Senior Executive - Risk and Loss Mitigation in Indore. The role focuses on investigation management, claim investigation, vendor management, and cost containment through data-driven analysis.

The incumbent will coordinate with claims teams, ensure ethics and compliance, perform field verifications, and prepare management reports highlighting findings and recommended improvements in claim processing and risk mitigation.

Qualificações

• Graduation is required.
• Experience in investigation and claims processes.
• Knowledge of vendor management and ethics/compliance.

Responsabilidades

• Coordinate investigation management and claim investigations.
• Allocate claims to vendors with case-relevant triggers.
• Follow up for IR and TAT management and QC clearance.
• Prepare reports based on findings and guide actions.
• Engage in data analysis to identify trends and cost-saving opportunities.

Conhecimentos

Graduation

Claim Investigation

Vendor Management

Descrição da vaga

Senior Executive - Risk and Loss Mitig...

HDE/JC/17436

• HDFC ERGO General Insurance
• India>West>Madhya Pradesh>Indore>Indore>Indore>2403>Branch

Posted On 11 Aug 2026

End Date 11 Aug 2027

Required Experience 1 - 5 years

Basic Section

New Job Title Senior Executive - Risk and Loss Mitigation

No. Of Openings 1

Grade JM1

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 West

Branch Code 2403

Type of Office Branch

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