FIND YOUR BETTER AT AIAIf you believe in better, we'd love to hear from you.About the RoleResponsible for determining the validity and authorising settlement of individual life insurance claims
- Validates and provides inputs on the business cases that will affect the claims procedure including but not limited to adjudication, and as needed, provide inputs to new business and medical underwriting process.
- Refers cases to the different reinsurers for facultative acceptance.
- Confirms validity and approves deposit transfer for any relevant and agreed remediation handling
- Handles referrals of contestable claim cases within the specified underwriting authority by rendering medical opinion.
- Signs off and gives approval to recommended actions regarding claims guidelines and procedures performs relevant quality assurance following quality assurance framework and/or operating guidelines
- Approves the medical claims training programs.
- Reviews and validates budget assumptions based on statistical ratios, trends, past experiences and sales targets ensuring that forecasted budget expenditures are within acceptable limits.
- Acts as resource speaker on Agency/Distribution Forum.
- Provides inputs, reviews, signs-off and endorses the user's specifications to systems enhancement relevant to claims processing and/or medical assessments and other related data analyses/models
