Vishal Karale

Strategic, analytics-driven Claims Leader with 16+ years of experience across Property & Casualty Reinsurance, direct P&C Insurance and Health Insurance and TPA operations. Currently leading the India Claims function for Hannover Re, reporting to the CFO and driving claims governance, digital transformation and operational excellence. Proven track record of delivering over ₹ 79 lakhs in verified business savings through automation, data analytics and process optimization while strengthening claims controls, regulatory compliance and executive reporting.

Claims Manager (functioning as Head of Claims India, reporting to CFO) at HANNOVER RUCK SE- INDIA BRANCH (2023-04 – Present)

• Lead the P&C reinsurance claims function (Treaty & Facultative), driving claims governance, end-to-end claims management, regulatory compliance, and strategic stakeholder engagement.
• Improve governance, controls, and claims documentation across reinsurance portfolio.
• Managed reconciliation for Bordereaux and SOA, reducing discrepancies.
• Built SQL-based Bordereaux database enhancing data integrity.
• Designed and Deployed Python-based "BDX Solution" automating reconciliation.
• Designed and Deployed Python-based "Claims Solution" for claims database.
• Created real-time Power BI dashboards improving underwriting decisions.
• Delivered total savings of ₹47,23,803 through digital initiatives.

Deputy Claims Manager at HANNOVER RUCK SE- INDIA BRANCH (2021-11 – 2023-04)

Assistant Manager – Claims at SBI GENERAL INSURANCE CO. LTD. (2017-04 – 2021-11)

• Improved YOY settlement ratio; achieved 99.76% in FY 20–21.
• Reduced TAT by 2.56 days despite 54.72% volume surge.
• Lowered deficiency ratio by 6.34% via process improvements.
• Delivered ₹32,22,636 savings via audits and controls.
• Piloted digital health claims system "eOxegen" and AI-ML modules.
• Improved TPA performance through KPIs, audits, and governance.
• Strengthened customer experience and NPS.
• Oversaw daily claims monitoring, enrollment data, and payment processes.
• Coordinated fraud investigations and escalations.
• Ensured CKYC and regulatory compliance.

Sr. Executive – Claims at SBI GENERAL INSURANCE CO. LTD. (2015-02 – 2017-03)

Sr. Executive – Corporate Claims at STAR HEALTH & ALLIED INSURANCE (2014-04 – 2015-02)

• Managed corporate health claims MIS, broker coordination, and grievances.

Executive – Claims at STAR HEALTH & ALLIED INSURANCE (2010-09 – 2014-03)

• Managed claim registration, grievance resolution, and fraud monitoring.
• Conducted field investigation coordination.

Claims Executive at RAKSHA TPA PVT. LTD. (2009-08 – 2010-09)

• Managed claim registrations and pre-auth checklist processing.

Customer Service Representative at RELIANCE BPO PVT. LTD. (2008-05 – 2009-06)

• Handled customer queries and maintained service reports.

Associate in Insurance – Insurance Institute of India (2024)

Licentiate in Insurance – Insurance Institute of India (2020)

Diploma in Reinsurance – NIA Pune (2023)

B.A. in Economics – University of Mumbai (2008 – 2011)