You will be responsible for…
- Own end-to-end claims operations (FNOL to settlement) and ensure consistent application of claims handling standards and customer commitments.
- Manage and monitor claims TAT, quality, and compliance KPIs; perform root‑cause analysis and implement corrective and preventive actions.
- Oversee investigations and complex/escalated claims, ensuring appropriate documentation, fraud controls, and sound decisioning.
- Partner with underwriting, product, customer service, and finance to improve claims processes, customer communications, and policy/wording interpretation.
- Manage TPA/vendor performance, resourcing, and capacity planning; conduct regular operational reviews and drive SLA adherence.
- Handle claim complaints and regulatory/customer escalations, ensuring resolutions are timely, well‑documented, and aligned to contractual and regulatory requirements.
Produce regular claims pe...