Job Description
We are seeking a highly skilled and detail-oriented professional to join our Life Claims team as a Senior Claims Assessor. This role is critical in ensuring the accurate and timely assessment of legitimate life insurance claims, while upholding the highest standards of service and compliance. The role will also be given the opportunity to be part of an exciting team with involvement in service excellence initiatives and projects to improve the claims experience.
The Job
1. Manage and assess life claims, including appeals with sound medical knowledge and adherence to policy terms.
2. Ensure timely and accurate claim decisionsin line with service standards, regulatory requirements and legal matters.
3. Engage with medical professionals, hospitals, policyholders and claimantsto obtain necessary documentation and clarify clinical details for claim evaluation to achieve timely closure and resolution.
4. Deliver excellent service and enhance customer and distribution channels relationship management.
5. Collaborate with internal stakeholdersto improve claims processes and contribute to continuous improvement initiatives.
6. Mentor and guide junior staff.
7. Undertake additional responsibilities as assigned by the supervisor, demonstrating flexibility and commitment to organizational needs.
8. Take accountability in considering business and regulatory compliance risks and takes appropriate steps to mitigate the risks
9. Maintain awareness of industry trends on regulatory compliance, emerging threats and appropriate steps to mitigate the risks
10. Highlight any potential concerns/risks and proactively shares best risk management practices
