Coverfox – Manager – Claims – Group Insurance

Key Responsibilities

Operations Management

– Handle end-to-end operational activities for Group Credit Life & Affinity products.

– Manage policy issuance processes, endorsements, reconciliations, and servicing activities.

– Coordinate daily data exchange between partners, insurers, and internal teams.

– Validate partner data files and ensure accurate policy booking and issuance.

– Monitor TATs and ensure timely resolution of operational issues.

– Maintain MIS reports, operational dashboards, and reconciliation reports.

– Work closely with underwriting, finance, technology, and insurer operations teams for smooth execution.

– Ensure compliance with agreed SOPs, insurer guidelines, and regulatory requirements.

Claims Management

– Manage end-to-end claims handling for group insurance products.

– Coordinate with insurers, partners, and claimants for document collection and claim processing.

– Track cl aim status, follow-ups, approvals, and payouts within defined timelines.

– Resolve escalations related to claims and servicing.

– Maintain claims MIS and provide periodic updates to management and partners.

– Identify process gaps and recommend operational improvements.

Stakeholder Management

– Act as a single point of contact for assigned B2B partners and insurers.

– Build strong working relationships with NBFCs, MFIs, Housing Finance companies, and insurer operations teams.

– Support onboarding of new partners and products from an operations perspective.

– Coordinate with tech teams for API/data integration and process automation initiatives.

Desired Candidate Profile

– 5+ years of experience in Insurance Operations and Claims handling.

– Strong understanding of Group Credit Life, Affinity, or Group Insurance products.

– Experience working with NBFCs, MFIs, Housing Finance companies, or Bancassurance partners.

– Good knowledge of policy issuance, data reconciliation, endorsements, and claims processes.

– Strong coordination and stakeholder management skills.

– Proficiency in Excel, MIS reporting, and operational tracking.

– Ability to work in a fast-paced and high-volume operational environment.

– Good communication and problem-solving skills.

Preferred Background

– Experience in Insurance Broker / Insurtech / General Insurance / Life Insurance operations.

– Exposure to insurer coordination and partner servicing.

– Understanding of API/data exchange processes will be an added advantage.