Executive, Claims

Role Purpose

Provide dedicated claims services to claimants and Financial Service Consultants, ensuring delivery of key service objectives through efficient and effective claims management.

Role Duties & Responsibilities

• Adjudicate Accident & Health (A&H) claims and ensure delivery of a prudent and equitable claims decision within expected service level.
• Comply with regulatory requirements, corporate guidelines, policy wording and reinsurance terms.
• Manage claims investigation by working with claimants, financial consultants, medical institutions, insurers, etc., to determine claims decision and payment.
• Follow up on outstanding requirements needed for claims adjudication through a documented follow‑up process and provide regular updates on claims status.
• Work closely with other business units to ensure that claims are processed accurately and that all service level agreements are met.
• Manage enqu...