Senior Executive - Risk and Loss Mitigation

PeopleStrong; Indore District; On-site; INR 450,000 - 650,000; Full time

Job summary

HDFC ERGO General Insurance is seeking a Senior Executive in Risk and Loss Mitigation to lead investigations, manage vendor engagement, and ensure compliance with internal controls. The role emphasizes analytical reporting and collaboration with the claims team to improve throughput and cost efficiency.

Experience in investigation management, data-driven decision making, and field coordination with external stakeholders is desirable for this permanent position at a branch in Indore.

Qualifications

• Graduation completed as required for the role.

Responsibilities

• Investigate and manage claims; allocate cases to vendors based on triggers.
• Coordinate and communicate with claims team; prepare findings and reports.
• Perform data analysis to identify trends and propose cost-saving improvements.

Skills

Graduation

Job description

Senior Executive - Risk and Loss Mitigation

HDE/JC/17436

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

Required Experience 1 - 5 years

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

Graduation

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