Life Adjudication

13 hours ago

Gurugram, India Sun Life Global Solutions Full time

Role & responsibilities

Looking for Immediate Joiner (IC Role)

Shift timings- 05:30 PM to 02:00 AM (Night Shift)

Life Claims Adjudicator:

The Individual Insurance Claims department plays a crucial role with our clients as we offer them financial help when they most need it. We are looking for a motivated individual who is eager to learn to hold the position of Claims Adjudicator. The position offers the possibility to progress internally through our career ladder. Life Claims Adjudicator

Role summary: The Claims Adjudicator is responsible for the assessment of claims for individual insurance.

Main Accountabilities:

  • Assess the documentation received for a claim in order to reach a decision Determine how the contract applies to each claim
  • Communicate clearly and proactively with clients, advisors and various professionals and effectively manage their expectations
  • Maintain established service standards Evaluate opportunities for process improvements and actively participate in team initiatives and projects

Competencies:

  • Knowledge of individual life insurance
  • Excellent written and verbal communication skills with an ability to handle written inquiries of a sensitive nature
  • 5 years of client service experience or 2 years in a claims environment
  • Strong problem solving and analytical skills
  • Attention to detail
  • Team player with a positive attitude and commitment to provide quality service
  • Ability to balance high work volumes and inquiries
  • Good organizational and time-management skills
  • Solid PC skills with knowledge of Word and Excel

Requirements:

  • College diploma/university degree/CEGEP degree or relevant experience
  • Knowledge of MLIF, Ingenium, CSW, Filenet and IBM Notes
  • English
  • Knowledge of individual life insurance

Assets:

  • Education involving knowledge of Medical terminology
  • First Level LOMA diploma or dedication to work towards attaining it

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