JD for Investigations Manager, Claims Manager, Investigation - Claims based out of Corporate Office, Mumbai Job Brief Manager to oversee investigations for claims (Legal-TP Claims/ WC claims/ OD claims, PA Claims, Theft Claims & Health Claims, Commercial claims) of our GI business. The successful candidate will effectively ensure investigation conformity and minimize probability of exposure Academic Qualification Must be a graduate from a recognized institution or university. Law Graduate (LLB or LLM) + III pass out will be the first choice Required Experience / Key responsibilities Candidate must be experienced with 5 to 7 yrs in General Insurance Industry - specially in claims investigation field Experience in handling team (minimum 02 member) with minimum exposure of Zonal portfolio Exposure in dealing with MACT / Third Party Claims & WC matters, PA claims, Health claims, OD claims & Theft Claims investigation Candidate must have good drafting skills as well as communication skills Candidate must have well experience in recovery procedure (Pay & Recovery Legal Claims & Theft vehicle recovery) Experience in handling for & against litigations before various courts arising out of claims (civil, criminal etc..) Candidate should have well conversant about latest laws pertaining to Insurance Laws, Criminal law & Indian Evidence Act Experience in handling Advocates & Investigators : (1) Vetting of relevant applications whenever requires in best interest of the company (2) review of investigation report to conclude/ quantify cases into respective categories (settleable/contest/defense) Must be conversant with MS office for day-to-day activities & maintaining required MIS to extract important/effective details Experience in adducing evidence to defend the matters rigorously & to safeguard company's interest whenever required Experience in handling Criminal proceedings before Police authority or action required before RTO authority or subsequent authority whenever required
Job Title
Claims Investigation Manager