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About:
CoverYou is a licensed insurance broker by the IRDAI. As one of the fastest-growing dedicated insurance brokers addressing the problems faced by healthcare professionals of India, they incepted CoverYou with the goal of reimagining how insurance is purchased and sold in India by doctors and hospitals. They have developed one-click processes for policy issuance and claims in a short amount of time, introduced cutting-edge products like “Customised Doctor’s Professional Indemnity” and “Customised Hospital Indemnity”, and gained the trust of the medical associations through fairness, transparency, and customer-centeredness. They are now moving forward with their plan to become doctor’s preferred insurance brokers.
CoverYou allow you to purchase a variety of customised insurances, as well as assist you in evaluating the benefits and cost-cutting policies that best suit your professional needs. If you ever need to file a claim or renew your coverage, you can expect some help. Right?
Role:
Legal Head – Insurance Broker
Location:
Gurgaon
Qualifications:
- Bachelor’s degree in Law (LLB) or equivalent; a Master’s degree or certifications in Insurance/Claims Management is advantageous.
- 8+ years of proven experience in claims management and legal roles, preferably in the insurance or financial services sector.
- Deep understanding of insurance laws, regulations, and claims processes.
- Strong negotiation, analytical, and decision-making skills.
- Ability to manage competing priorities, work effectively under pressure, and make sound strategic decisions.
- Excellent communication and interpersonal skills for interaction with clients, insurers, and regulators.
Preferred Skills: - Familiarity with reinsurance and international claims management processes.
- Hands-on experience with digital claims systems and analytical tools.
- Demonstrated expertise in litigation management and dispute resolution.
Responsibilities:
1. Claims Management:
- Oversee the complete claims process, ensuring timely and efficient resolution.
- Develop and execute strategies to enhance claims handling procedures and client experiences.
- Serve as the escalation point for complex or high-value claims, negotiating settlements as needed.
- Collaborate with insurers to ensure impartial claims evaluation and resolution.
- Analyze claims data to identify risks and recommend preventive measures.
2. Legal Operations:
- Provide legal counsel on claims disputes, policy interpretations, and regulatory adherence.
- Draft, review, and negotiate contracts, agreements, and insurance policy documents.
- Represent the organization in legal proceedings, including mediation, arbitration, and court cases.
- Ensure strict compliance with relevant laws, regulations, and industry standards.
- Build and maintain relationships with external legal counsel and other stakeholders.
3. Risk Management:
- Identify and mitigate legal and operational risks linked to claims and brokerage activities.
- Uphold adherence to internal policies, regulatory frameworks, and ethical standards.
- Conduct legal audits and lead training sessions to bolster compliance awareness.
4. Team Leadership:
- Lead, mentor, and manage a team of claims specialists and legal professionals.
- Promote a culture of collaboration, continuous improvement, and operational excellence.
- Track team performance, providing constructive feedback and facilitating professional growth opportunities.
How to apply:
Interested candidates can send their CV, cover letter, and references to hr@coveryou.in . Applications will be reviewed on a rolling basis.
We have taken all measures to ensure that this opportunity, available in the corporate domain, is uploaded/provided/given on our social media platforms, including our website, and is credible, verified and sourced from authenticated/trustable sources.