Claims Manager

<p class="MsoNormal" style="margin-top:3pt;margin-right:0cm;margin-bottom:2pt;margin-left:0cm;"><b><span lang="sl" style="font-size:12pt;font-family:Calibri, sans-serif;color:#4F81BD;" xml:lang="sl">About Us</span></b></p><p><b></b></p><b></b><p class="Default"><span lang="en-us" style="font-size:11pt;" xml:lang="en-us">Bandhan Life is your trusted partner in financial security, making every Indian household financially secure. As a part of the renowned Bandhan Group, we are bolstering our collaborative strengths of digital innovation and robust distribution to enhance the value for all our stakeholders. Welcome to a new era of insurance, where growth, innovation, customer, and employee welfare are paramount.​</span></p><p></p><p class="Default"><span lang="en-us" style="font-size:11pt;" xml:lang="en-us"> </span></p><p class="Default"><b><span style="color:#4F81BD;">Key Responsibilities:</span></b></p><p><b></b></p><b></b><p class="MsoNormal" style="margin-left:18pt;"><span lang="sl" style="font-family:Calibri, sans-serif;" xml:lang="sl">1.<b>Claims Management</b>: Managing Individual rider claim & Group Affinity claims, ensuring<br /> all genuine claims are paid accurately and speedily to provide seamless experience to<br /> the claimant</span><span style="font-family:Calibri, sans-serif;"></span></p><p></p><p class="MsoNormal" style="margin-left:18pt;"><span lang="sl" style="font-family:Calibri, sans-serif;" xml:lang="sl">2. <b>System development</b>: Accountable for ensuring the development of system<br /> functionalities, providing clear, detailed user stories and requirements for functionalities<br /> needed to ensure the smooth operation of claim processes. This helps drive<br /> automation, eliminate manual interventions, minimizing the risk of errors, and ensure<br /> compliance with product terms and conditions as well as regulatory requirements.</span></p><p></p><p class="MsoNormal" style="margin-left:18pt;"><span lang="sl" style="font-family:Calibri, sans-serif;" xml:lang="sl">3. <b>Stakeholder management:</b> Connect with CMO/Underwriting/ Legal/ Finance/Customer<br /> Service/IT as required for claim processing for seamless experience to customer during<br /> entire claims journey</span></p><p></p><p class="MsoNormal" style="margin-left:18pt;"><span lang="sl" style="font-family:Calibri, sans-serif;" xml:lang="sl">4.<b> Re-insurance management</b>: Managing Reinsurance support and co-ordination for<br /> processing and settlement of Claims and for Reinsurance reporting</span></p><p></p><p class="MsoNormal" style="margin-left:18pt;"><span lang="sl" style="font-family:Calibri, sans-serif;" xml:lang="sl">5. <b>Audit management:</b> Accountable for managing all audits related to the claims function,<br /> including providing comprehensive process walk-throughs and detailed requirements to<br /> auditors. This ensures transparency, adherence to internal controls, and compliance<br /> with regulatory and audit standards.</span></p><p></p><p class="MsoNormal" style="margin-left:18pt;"><span lang="sl" style="font-family:Calibri, sans-serif;" xml:lang="sl">6. <b>FFA Migration</b>: SPOC for migration- related activities, responsible for sharing detailed<br /> requirements, test cases, artefacts testing as well as conducting thorough testing and<br /> providing sign-off to ensure smooth system migration and accurate claim processing</span></p><p></p><p class="MsoNormal" style="margin-left:18pt;"><span lang="sl" style="font-family:Calibri, sans-serif;" xml:lang="sl">7. <b>MIS management:</b> Accountable for sharing monthly claims reports with Finance and<br /> Actuarial teams, monthly reconciliations with the Finance team to ensure data accuracy<br /> for financial and regulatory reporting. Ensure timely and accurate preparation and<br /> submission of financial and regulatory reports, maintaining full compliance with all<br /> regulatory requirements to avoid discrepancies or escalations from regulatory bodies</span></p><p></p><p class="MsoNormal" style="margin-left:18pt;"><span lang="sl" style="font-family:Calibri, sans-serif;" xml:lang="sl">8. <b>SOP management:</b> Ensure functional SOPs are always updated with the claim<br /> processes.</span></p><p></p><p class="MsoNormal" style="margin-left:18pt;"><span lang="sl" style="font-family:Calibri, sans-serif;" xml:lang="sl">9. <b>People management</b>: Responsible to train team members for claim processing skills,<br /> impart domain knowledge and provide assistance to enable them to effectively execute<br /> their roles and responsibilities</span></p><p></p><p class="MsoNormal" style="margin-top:0cm;margin-right:0cm;margin-bottom:12pt;margin-left:18pt;"><span lang="sl" style="font-family:Calibri, sans-serif;" xml:lang="sl">10. <b>Reporting management:</b> Responsible for the automation and availability of data fields<br /> on QuickSight, ensuring claims data is readily accessible for analysis and presentation<br /> to key stakeholders. This enables meaningful insights into the volume, trends, and<br /> types of claims received by the organization.<br /> 11. <b>Product development:</b> Responsible for sharing detailed requirements as per product<br /> specifications to product team. Responsible for co-ordination with IT for development of Day 2 product features</span></p><p></p><p class="MsoNormal" style="line-height:115%;"><b><span lang="sl" style="font-size:12pt;line-height:115%;font-family:Calibri, sans-serif;color:#4F81BD;" xml:lang="sl">Qualifications & Competencies:</span></b></p><p><b></b></p><b></b><p class="BulletDS" style="margin-top:0cm;margin-right:0cm;margin-bottom:0cm;margin-left:36pt;text-indent:-18pt;"><span lang="en-us" style="font-size:11pt;font-family:Symbol;" xml:lang="en-us">·<span style="font-style:normal;font-variant:normal;font-size:7pt;line-height:normal;font-family:'Times New Roman';"> </span></span><span lang="en-us" style="font-size:11pt;font-family:Calibri, sans-serif;" xml:lang="en-us">Any Graduate/ Post-Graduate with 5-8 years of experience in claims from life insurance industry </span></p><p></p><p> </p><p class="MsoListParagraph" style="margin-top:0cm;margin-right:0cm;margin-bottom:8pt;margin-left:36pt;text-indent:-18pt;line-height:115%;"><span lang="en-us" style="font-family:Symbol;" xml:lang="en-us">·<span style="font-style:normal;font-variant:normal;font-size:7pt;line-height:normal;font-family:'Times New Roman';"> </span></span><span lang="en-us" style="font-family:Calibri, sans-serif;" xml:lang="en-us">Communication: Excellent verbal and written communication skills </span></p><p></p>