As a life claims admin you will be tasked to:
- Handle outbound calls and respond to basic inquiries from medical providers and internal stakeholders
- Manage and update SOP and implement remedial actions within the Claims Department to ensure compliance with internal claims SOP, regulatory requirements, and company policies.
- Manage all tasks related to life claims administration, such as processing daily manual claims
- Assist in creating, maintaining, and updating accurate records of life claims in the claim register.
- Identify control issues that deviate from established operational procedures and guidelines.
- Follow up on requests for medical reports and other supporting documents with medical providers, policyholders, and agents.
- Perform data entry and maintain organized filing and documentation of life claim documents/files.
- Conduct internal audits to ensure adherence to financial, operational, and compliance objectives.
- Conduct daily/monthly quality assurance checks on claims processing to meet KPIs and claims SOP, implementing corrective and preventive measures as necessary.
To qualify for the role, you should have:
- At least 2 years of experience in relavant claims admin role in the insurance sector
