Job Summary
We are seeking a skilled professional with 3 to 5 years of experience in the Life and Annuity domain for the role of SPE-Ins Claims. The candidate will work from our office during night shifts focusing on claims processing and analysis. This role requires a strong understanding of Life and Annuities Insurance to ensure accurate and efficient claims management contributing to the companys success and customer satisfaction.
Responsibilities
- Analyze and process insurance claims in the Life and Annuity domain to ensure timely and accurate resolution.
- Collaborate with team members to identify and resolve discrepancies in claims documentation.
- Utilize domain knowledge to enhance the efficiency of claims processing and improve customer satisfaction.
- Maintain up-to-date records of claims and ensure compliance with company policies and industry regulations.
- Provide insights and recommendations to improve claims processing workflows and reduce processing times.
- Communicate effectively with internal and external stakeholders to facilitate smooth claims handling.
- Monitor claims trends and provide reports to management for strategic decision-making.
- Ensure adherence to quality standards and regulatory requirements in all claims processing activities.
- Support the development and implementation of new claims processing tools and technologies.
- Participate in training sessions to stay updated with industry trends and best practices.
- Assist in the preparation of claims-related documentation and reports for audits and reviews.
- Contribute to team meetings and discussions to share knowledge and improve processes.
- Engage in continuous learning to enhance domain expertise and professional growth.
Qualifications
- Possess strong analytical skills and attention to detail for accurate claims processing.
- Demonstrate excellent communication skills for effective stakeholder interactions.
- Have a solid understanding of Life and Annuities Insurance to apply domain knowledge effectively.
- Show proficiency in using claims processing software and tools.
- Exhibit problem-solving abilities to address and resolve claims issues efficiently.
- Display a commitment to maintaining high-quality standards and compliance with regulations.
- Be open to working night shifts and adapting to a dynamic work environment.
Certifications Required
Certified Life and Health Insurance Specialist (CLHIS) or equivalent certification in Life and Annuities.