Assistant Vice President - TP Claims Communication, Insurance, claims, TP Claims, ,

Job Description

Job Title: Assistant Vice President - TP Claims

Industry: Insurance

Location: Delhi (Head Office)

Experience Required: Minimum 10 years

Overview

The Assistant Vice President (AVP) - TP Claims will be responsible for leading and overseeing the Third-Party (TP) Claims department, ensuring efficient claims management, adherence to regulatory standards, and maintaining high customer satisfaction. This role demands strong leadership, analytical skills, and the ability to handle complex claims issues.

Key Responsibilities

• Claims Strategy & Oversight: Develop and implement the overall TP claims strategy, ensuring alignment with company goals. Oversee all aspects of TP claims operations, including claims intake, investigation, assessment, and settlement processes.
• Team Leadership & Development: Lead, mentor, and manage a high-performing team of TP claims professionals. Foster a culture of continuous improvement and professional growth within the team.
• Claims Management: Manage complex TP claims, including large loss cases, providing guidance to the team to ensure proper investigation, assessment, and settlement. Ensure that claims are processed in a timely and accurate manner.
• Regulatory Compliance: Ensure that all TP claims processes comply with industry regulations and company policies. Keep up to date with changes in laws and regulations affecting the claims process.
• Customer Service & Relationship Management: Act as a point of escalation for difficult or high-profile claims and maintain strong relationships with clients, brokers, and other stakeholders to ensure high levels of customer satisfaction.
• Reporting & Analytics: Develop and present reports on TP claims performance, including key metrics, trends, and improvement opportunities. Analyze claims data to identify trends, reduce costs, and improve claims handling processes.
• Collaboration & Cross-Functional Coordination: Work closely with underwriting, legal, and other departments to ensure seamless coordination and resolve any issues related to TP claims. Collaborate with external partners such as service providers and vendors.
• Process Improvement: Continuously review and enhance claims processes to improve efficiency, reduce costs, and enhance the customer experience. Implement best practices in claims management.
  
  

Qualifications & Skills Required

• Educational Qualifications:
• A Bachelor's degree in Business Administration, Insurance, Finance, or related fields is required.
• A Master's degree or MBA is preferred.
• Relevant professional certifications such as:
• Fellow of the Insurance Institute of India (III)
• IRDAI Recognized Certifications
• Certified Insurance Executive (CIE) (preferred)
• Experience:
• Minimum 10 years of experience in insurance claims management, with at least 5 years in a leadership or management role.
• Extensive experience with Third-Party Claims, preferably in the insurance industry.
• Strong understanding of regulatory requirements and compliance in claims processing.
• Skills & Competencies:
• Proven leadership skills with the ability to manage and inspire a diverse team.
• Excellent analytical and problem-solving abilities.
• Strong communication and interpersonal skills, with the ability to build and maintain relationships with clients and stakeholders.
• In-depth knowledge of TP claims processes and practices.
• Expertise in claims data analysis and reporting.
• Strong knowledge of insurance products and industry standards.
• Ability to handle high-pressure situations and resolve complex issues effectively.