DUTIES AND RESPONSIBILITIES:
- Review, evaluate, and process life insurance claims in accordance with policy terms and conditions.
- Verify documentation such as death certificates, medical records, and beneficiary information.
- Ensure claims are settled within defined timelines.
- Communicate with policyholders, beneficiaries, and brokers to provide updates and clarify claim requirements.
- Offer empathetic and professional support to claimants during sensitive situations.
- Investigate suspicious or complex claims to detect potential fraud.
- Collaborate with underwriting, legal, and compliance teams when necessary.
- Maintain accurate records of claim files and correspondence.
- Ensure adherence to regulatory requirements and company policies.
- Prepare regular reports on claim volumes, turnaround times, and settlement ratios.
- Provide feedback to management on trends, recurring issues, and process improvements.
REQUIREMENTS:
- Bachelor's degree in Business, Finance, Insurance, or related field.
- 2–3 years of experience in life insurance claims or related insurance operations.
- Strong analytical and investigative skills.
- Excellent communication and interpersonal abilities.
- Knowledge of insurance regulations and compliance standards.
