
Claims Manager, Life Insurance
7 days ago
Work closely with the Head of Life Insurance Operations to develop and implement sound claims adjudication processes to ensure proper risk controls over the claims function.
- Responsible for adjudication of all Life claims.
- Process all Life claims within the stipulated turnaround time.
- Handling of claims enquiries from customers and business partners within stipulated turnaround time.
- Work closely with Underwriters and Customer Service team in the handling and fronting of early claims.
- Perform reviews on claims related matters in product summary, FAQs, policy contract wordings, treaty interpretation and negotiations.
- Review and update the claims SOP manual in a timely manner.
- Create and keep claim forms up to date
- Provide user requirements on claims module in core system for purpose of system enhancements and new product launches and perform the respective UATs.
- Attend to claims mediations and adjudications at FIDReC (if any) and all audit claims.
- Conduct claims training for internal stakeholders and business partners.
- Policy servicing work (ie. processing of non-financial and financial PS requests).
- Any other projects/work assigned by the Head of Life Insurance Operations
**Requirements**:
- Minimum a Diploma / Degree in any discipline
- Professional qualifications such as LOMA, M5 and M9 will be an added advantage
- Minimum 8 years of relevant Life claims experience
- Sound knowledge of medical conditions, insurance laws and regulations
- Great initiative, drive, and ability to work well independently and effectively in a team
- Highly adaptable and resilient in a fast-paced challenging environment
- Customer centric with excellent interpersonal and communication skills
- Proficient in MS Office
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