Manager-Claims

Mandatory Skills Creativity: Ability to come up with imaginative and innovative solutions to business needs. Strong communication skills: Ability to express ideas clearly and persuasively. Planning and Organization: Effectiveness in planning and organizing activities of himself and team members. Energy: Ability to maintain a high activity level. Inter organization skills: Ability to work together with all stakeholders involved; flexibility in taking feedback and modifying approach.

Job Description1. Litigation Handling & Case ManagementManage 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 TeamsLiaise 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 LitigationEvaluate 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 ComplianceEnsure 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 & NegotiationEvaluate 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 & MISPrepare 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 ManagementMonitor performance of panel advocates.Ensure cost control of legal expenses.Evaluate effectiveness and recommend empanelment/de-empanelment.8. Risk Management & Process ImprovementIdentify gaps in claims handling leading to litigation.Recommend process improvements to reduce future litigation.Support fraud detection and prevention initiatives.Key Skills & CompetenciesStrong knowledge of insurance claims and litigation processesFamiliarity with legal frameworks (MACT, Consumer Protection Act, Civil laws)Analytical and decision-making skillsStakeholder management and negotiationAttention to detail and documentation accuracyAbility to manage multiple legal cases simultaneously