
Senior Life Claims Expert
3 days ago
We are seeking a highly skilled 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.
Key Responsibilities
- Manage and assess life claims, including appeals with sound medical knowledge and adherence to policy terms.
- Ensure timely and accurate claim decisions in line with service standards, regulatory requirements and legal matters.
- Engage with medical professionals, hospitals, policyholders and claimants to obtain necessary documentation and clarify clinical details for claim evaluation to achieve timely closure and resolution.
- Deliver excellent service and enhance customer and distribution channels relationship management.
- Collaborate with internal stakeholders to improve claims processes and contribute to continuous improvement initiatives.
- Mentor and guide junior staff.
- Undertake additional responsibilities as assigned by the supervisor, demonstrating flexibility and commitment to organizational needs.
- Take accountability in considering business and regulatory compliance risks and take appropriate steps to mitigate the risks.
- Maintain awareness of industry trends on regulatory compliance, emerging threats and appropriate steps to mitigate the risks.
- Highlight any potential concerns/risks and proactively share best risk management practices.
Seniority Level and Employment Type
- Mid-Senior level
- Full-time
Job Function and Industries
- Finance
- Insurance
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