Commercial Claims Manager

As an Assistant Claims Manager - Commercial Insurance at Prisha Insurance Brokers Private Limited, you will be responsible for leading and managing end-to-end claims operations across various commercial insurance lines. Your role will require strong technical expertise, leadership capabilities, and a deep understanding of policy wordings, claims negotiations, and regulatory frameworks to ensure timely and efficient claim settlements while maintaining high service standards and stakeholder satisfaction. Key Responsibilities: - Manage and oversee the complete claims lifecycle for commercial insurance products including Workmens Compensation (WC), Fire, Marine Cargo & Hull, Engineering, Liability, and other corporate lines. - Review, evaluate, and authorize claims in accordance with policy terms, underwriting guidelines, and regulatory requirements. - Act as the primary point of contact for corporate clients, insurers, surveyors, TPAs, advocates, and other stakeholders. - Ensure accurate documentation, timely follow-ups, and effective coordination with insurers for prompt claim settlements. - Handle complex, high-value, and disputed claims, including negotiations and escalations with insurers and service providers. - Provide guidance and mentoring to the claims team, ensuring adherence to internal processes and service benchmarks. - Identify potential fraud, red flags, or policy breaches and coordinate investigations where required. - Collaborate closely with underwriting, legal, finance, and compliance teams to resolve claims efficiently. - Monitor claims TATs, settlement ratios, and service quality; prepare MIS, dashboards, and periodic reports for management. - Ensure compliance with IRDAI regulations, policy conditions, and internal governance standards. - Drive process improvements, automation initiatives, and best practices to enhance operational efficiency and client satisfaction. Qualifications & Experience: - Proven experience in commercial insurance claims management, preferably in a brokerage, insurance company, or TPA. - Strong hands-on expertise in claims related to WC, Fire, Marine, Engineering, and other corporate insurance lines. - In-depth understanding of policy wordings, endorsements, exclusions, and claims documentation. - Excellent analytical, negotiation, and problem-solving skills. - Strong communication and stakeholder management abilities. - Proficiency in claims management systems and Microsoft Office Suite. - Ability to manage multiple claims, deadlines, and team responsibilities in a fast-paced environment. - Sound knowledge of insurance laws, IRDAI regulations, and industry best practices. As an Assistant Claims Manager - Commercial Insurance at Prisha Insurance Brokers Private Limited, you will be responsible for leading and managing end-to-end claims operations across various commercial insurance lines. Your role will require strong technical expertise, leadership capabilities, and a deep understanding of policy wordings, claims negotiations, and regulatory frameworks to ensure timely and efficient claim settlements while maintaining high service standards and stakeholder satisfaction. Key Responsibilities: - Manage and oversee the complete claims lifecycle for commercial insurance products including Workmens Compensation (WC), Fire, Marine Cargo & Hull, Engineering, Liability, and other corporate lines. - Review, evaluate, and authorize claims in accordance with policy terms, underwriting guidelines, and regulatory requirements. - Act as the primary point of contact for corporate clients, insurers, surveyors, TPAs, advocates, and other stakeholders. - Ensure accurate documentation, timely follow-ups, and effective coordination with insurers for prompt claim settlements. - Handle complex, high-value, and disputed claims, including negotiations and escalations with insurers and service providers. - Provide guidance and mentoring to the claims team, ensuring adherence to internal processes and service benchmarks. - Identify potential fraud, red flags, or policy breaches and coordinate investigations where required. - Collaborate closely with underwriting, legal, finance, and compliance teams to resolve claims efficiently. - Monitor claims TATs, settlement ratios, and service quality; prepare MIS, dashboards, and periodic reports for management. - Ensure compliance with IRDAI regulations, policy conditions, and internal governance standards. - Drive process improvements, automation initiatives, and best practices to enhance operational efficiency and client satisfaction. Qualifications & Experience: - Proven experience in commercial insurance claims management, preferably in a brokerage, insurance company, or TPA. - Strong hands-on expertise in claims related to WC, Fire, Marine, Engineering, and other corporate insurance lines. - In-depth understanding of policy wordings, endorsements, exclusions, and claims documentation. - Excellent analytical, negotiation, and problem-solv