Sr. Associate Claims

About Job

Skills & Qualification

• Education: Bachelor's degree or equivalent
• Experience: 0-2 years of experience in claims processing, data entry, insurance, or a related administrative
• Technical Skills: Proficiency in Microsoft Office Suite (Word, Excel) and the ability to quickly learn and navigate claims processing software/systems.
  

Responsibilities

• Review and assess group life insurance claims to determine eligibility, validity, and settlement amount based on policy provisions and documentation.
• Verify claim documentation, including medical records, death certificates, employer statements, and other supporting evidence.
• Coordinate with the investigation team when required to confirm authenticity and prevent fraud.
• Ensure claims are processed within defined turnaround times and regulatory timelines.
• Maintain adherence to internal quality standards and audit requirements.
• Liaise with underwriters, reinsurers, and other internal stakeholders for complex or high-value cases.
• Communicate claim decisions and rationale clearly to clients, intermediaries, and policyholders.
• Support process improvement initiatives and contribute to the enhancement of claims procedures.
• Maintain updated knowledge of insurance products, regulatory changes, and industry best practices.