Claim Analyst & Litigation Asst. Manager

We’re Hiring: Claim Analyst & Litigation Assistant Manager

Join our team as a Claim Analyst & Litigation AM, where you’ll play a key role in analyzing claims, managing litigation documentation, and collaborating with legal teams to ensure fair and accurate resolutions.

Job DescriptionAnalyze incoming claim submissions for validity and compliance with policy terms.Provide re-analysis results, recommendations, and make decisions within your authority limit.Prepare documentation for claim litigation processes.Coordinate with internal teams on claim cases.Collaborate with the Legal Team for clarifications and act as a factual witness in claim decisions, including appearances in court, police investigations, or customer mediation sessions—both locally and outside of the city.Maintain and update reports on fraud cases, NDC, mediation outcomes, and court decisions, including cost-saving analysis.

RequirementsEducational Background: Minimum qualification as a Medical Doctor (MD) or a degree in Health Sciences, Nursing, Pharmacy, or Public Health.Industry Experience: 5–7 years of professional experience exclusively in the life insurance industry, with a strong focus on claims and litigation.Claims Expertise: Demonstrated expertise in handling both major and minor life insurance claims, including medical assessment, fraud detection, and policy compliance.Litigation Handling: Proven experience in managing disputed life insurance claims, preparing legal documentation, and supporting legal teams in resolution processes.Communication Skills: Excellent communication and negotiation skills for effective interaction with hospitals, legal teams, and internal departments.Technical Proficiency: Proficient in claims management systems, Microsoft Office, and digital documentation tools.

If you’re ready to make an impact and grow your career in a dynamic environment, apply today!

• only shortlisted candidates will be contacted