Deputy Manager - Risk And Loss Mitigation

HDFC ERGO

1 - 5 years

Indore

Posted: 25/06/2025

Job Description

 Investigation mangement  Claim Investigation Allocation of assigned claims to respective vendors with case relevant triggers  Follow up for IR and TAT management  Level 1 QC clearance & validate the submissions against shared triggers  Success in claim investigation based upon strong medical & legal evidences  Preparing reports based on findings and observations and guide / Gathering and Analyzing the facts and  Developing & creating evidence which stands in court of law  Report submission and coordination with claims team.  Evidence Matrix Assurance Ascertain evidence quality as per matrix Validate each & every evidence with the case triggers  Escalation Management  Payment reconciliation with Vendors Project tracking Vendor Management Vendor Empanelment & Training & Development  Ensure the ethics and compliance during managing the external investigators and self- investigation of cases  Vendor Payment Reconciliation  Handling physical verification, field visits to hospitals, pharmacies, diagnostic centers etc, collect evidences and report for further action to Insurers, Corporates etc.  Analyze data on utilization, outcomes and costs to determine trends and identify problem areas.  Present findings to the management, which may include reviews, proposed solutions, and implementation of long- and short-term solutions for improvements in claim processing and cost savings.  Desktop Investigation Trigger identification through data at intimation/Referral stage  Social media searches  Cold calling using digital platforms Identify key business people, link analysi

About Company

HDFC ERGO General Insurance is a leading private sector general insurance company in India, formed as a joint venture between HDFC Ltd. and ERGO International (a part of the Munich Re Group). The company offers a wide range of insurance products including health, motor, travel, home, and commercial insurance. Known for its customer-centric approach, strong digital infrastructure, and quick claims processing, HDFC ERGO serves millions of individuals and businesses across the country, making it a trusted name in the Indian insurance industry.

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