Key Responsibilities
1. Litigation Handling Case Management
- Manage end-to-end litigation lifecycle for motor/health/other insurance claims.
- Track court cases, MACT matters, consumer complaints, arbitration, and recovery suits.
- Ensure timely filing of replies, written statements, affidavits, and appeals.
- Maintain litigation MIS and case status updates.
2. Coordination with Legal Teams
- Liaise with panel advocates, internal legal team, and external consultants.
- Provide claim documents, investigation reports, and evidence required for legal proceedings.
- Review legal drafts prepared by lawyers before submission.
3. Claims Analysis for Litigation
- Evaluate claims from a legal standpoint to decide defensibility.
- Identify fraudulent or inflated claims and recommend legal actions.
- Provide litigation strategy inputs for high-value or complex claims.
4. Court Regulatory Compliance
- Ensure adherence to timelines set by courts, tribunals (MACT), and regulators (IRDAI).
- Monitor case filings, hearings, and judgments.
- Ensure compliance with legal documentation and record-keeping standards.
5. Settlement Negotiation
- Evaluate out-of-court settlement opportunities to reduce litigation costs.
- Negotiate settlements in coordination with legal and claims teams.
- Recommend reserve adjustments based on case developments.
6. Reporting MIS
- Prepare litigation MIS reports (case aging, win/loss ratio, provisions).
- Analyze trends in litigation to improve claim handling processes.
- Highlight high-risk cases to senior management.
7. Vendor Legal Panel Management
- Monitor performance of panel advocates.
- Ensure cost control of legal expenses.
- Evaluate effectiveness and recommend empanelment/de-empanelment.
8. Risk Management Process Improvement
- Identify gaps in claims handling leading to litigation.
- Recommend process improvements to reduce future litigation.
- Support fraud detection and prevention initiatives.
Key Skills Competencies
- Strong knowledge of insurance claims and litigation processes
- Familiarity with legal frameworks (MACT, Consumer Protection Act, Civil laws)
- Analytical and decision-making skills
- Stakeholder management and negotiation
- Attention to detail and documentation accuracy
- Ability to manage multiple legal cases simultaneously
