Senior Executive (Life Claim Admin) | Contract

  •  Job Reference: 159431
  •  Industry: Banking and Finance
  •  Bonus Package: R1111547
  •  Salary Description: 02C3423

Job scopes

  • Handle all the tasks related to life claims admin matters including but not limited to, assignment of daily manual claim and letter preparation.
  • Data entry & maintain proper filing and documentation of life claim documents and files.
  • Help with the creation, maintenance, and updating of the life claim register.
  • Follow-up of medical report requests, other supporting documents with medical providers, policyholders, and agents.
  • Perform outbound calls and attend to simple enquires from medical providers and distribution channels from department’s shared mailbox/CRM platform e.g., Salesforce.
  • Undertake internal audits (Life claims) to ensure the company meets its financial, operational and compliance objectives.
  • Identifies control issues that do not comply with the established operation procedures and guidelines.
  • Handles control and remediation work within Claims Department to ensure compliance with internal claims SOP, regulatory requirements, and policies.
  • Update claims SOP to reflect latest changes to claims guidelines.
  • Conduct daily/monthly claims quality assurance checks to ensure that claims are processed based on the KPI and claims SOP and put in place corrective and preventive measures.
  • Work as a team and provide support to the department when colleagues are on leave, on course or on medical leave.
  • Other tasks assigned by HOD/Supervisor(s) as and when required.

 

Job requirement

  • Diploma/Degree in any related field.
  • Around 2 to 4 years of working experience in life insurance company.
  • Familiar with Life insurance processes and good insurance knowledge.
  • Good interpersonal skills to effectively communicate with all stakeholders.
  • Good written and oral skills.
  • Ability to adapt to changes quickly and have a positive mindset.
  • Customer-centric and meticulous with the ability to work under pressure.