QA Manager (insurance Analyst)

2 - 7 Years

Job Description

Broad Role:

Take Charge, Lead & Perform & the following audit assignments:

1) Claims Closed File Review (CFR) and feedback to claims team/improvement
2) Property, Marine, Liability, Home, Motor & Miscellaneous LOBs
3) Develop analytics for audit mechanism and improve audit framework
4) Surveyor Gradation and evaluation /feedback
5) Appraisal of cases Board Approved Underwriting Authority Matrix
6) Process and documentation of filed products
7) Interphase between central and external audit function

Job Profile:

Planning, scoping and delivering the audit activities
Validate the gaps in respect of claim assessment found in CFR and feedback to Claims & Product team for incorporating the improvements in to their function/processes, including monitoring implementation of quality improvements
Claims assessed & paid as per the terms, conditions, warranties, clauses & deductibles mentioned in some policies
Highlight & discuss errors, findings or loophole in process or system with CSM & Product Team and provide recommendations
Regular follow-up with CSM & Product Team to execute the actionable within agreed timeline for compliance
Provide CSM Scorecards and feed back to claims team leader
Provide Surveyor's Scorecards to product team
Monthly audit of policies and procedures based on define parameters in adherence with a File & Use Guidelines introduced by IRDA and companys Underwriting Philosophy & Policy
Control of Board Approved Underwriting Authority Matrix
Quarterly checking of underwriting limit coding in PAS
Interface for Internal & External Auditor and resolves queries raised

Salary: INR 4,00,000 - 9,00,000 P.A.


Functional Area:Financial Services, Banking, Investments, Insurance

Role Category:General Insurance

Role:Insurance Analyst

Employment Type:Permanent Job, Full Time


Desired Candidate Profile

Behavioral competencies:

Work closely with internal teams to understand their difficulties

Define the project scope, objectives and approach

Ensure common understanding, quality of deliverables and compliance with business requirements
Ability to work on large data and provide valuable information

Contributes to the team in terms of professional skills and technical knowledge
Manages relationships with external auditors and all stake holders

Domain Knowledge

Sound knowledge of the general insurance business, insurance accounting and current market
Minimum 2-3 years of working experience in insurance domain


Doctorate:Doctorate Not Required

Company Profile

Ace Recruitment and Placment Consultants Pvt Ltd

One of the leading General Insurance Companies.
View Contact Details+

Recruiter Name:Bhairavi Mehta

Contact Company:Ace Recruitment and Placment Consultants Pvt Ltd