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
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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