Head of Claims
1 week ago
About Our Client
Our client is a top-tier global reinsurance brand in the industry with a substantial footprint in India, serving a vast customer base.
Job Description
Provides technical claims expertise on Life, Group and Heath Business to clients.Conducts internal claims audits to evaluate the quality of the adjudication.
Identifies process improvements and needs for training.
Performs external client audits to verify accuracy of claims adjudication practices and to ensure compliance with the terms of the treaty (ies).
Develops relationships with client companies and associates to ensure desired changes in practice are obtained.
Reviews and approves the liability on large, complex claims.
Provides feedback to other functional areas (Underwriting, Pricing, Business Development and Administration) on issues and trends that are identified during the Claims processes.
Ensures reporting, regulatory and process controls are in place and the relevant controls are operating
Ensure all Individual and Health claims management procedures, authorities; reporting and monitoring systems are operational and as agreed within the risk management function of the company.
The Successful Applicant
10+ years of overall experience in the insurance industry, specifically in claims management.Must be from Life Insurance background
Communication Skills: Identifies the information needs of stakeholders, explains the position of the unit or the organization to them and provides appropriate advice.
Complexity of Reasoning: Development of a new result by combining known information and techniques. Activities requiring the contribution of various resources (persons, spaces, material, budget etc.).
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