Claims Adjudication Associate

Summary

Administer promptly, efficiently and with empathy, all aspects of the claims portfolio, death and living benefits. Provide accurate information to the Company’s clients with professionalism and courtesy.

Responsibilities

• • Establish proper documentation and advise clients of the documents required for the processing of death claims and living benefits.
• • Create new claim files on receipt of acceptable evidence of claims.
• • Update the system reflecting the appropriate termination status.
• • Check all documents for completeness and authenticity.
• • Collate files above approval limits for submission to the Assistant Manager.
• • Follow up on outstanding claims.
• • Investigate inquiries and respond to the respective clients.
• • Input data to generate cheques for claim proceeds and establish proper discharge.
• • Prepare the monthly reports for submission to the Assistant Manager - Claims Unit. Include the details of living and death claims processed and settled and other pertinent activities.
• • Advise and offer guidance to beneficiaries of orphan policies, to reinvest part proceeds in the company’s investment portfolio.
• • Perform other job-related duties assigned from time to time.

Required Skills

• • Sound knowledge of all products offered by the company.
• • Excellent attitude to client service and teamwork.
• • Knowledge of basic medical terminology.
• • Excellent human relations skills.
• • Ability to communicate effectively, both orally and in writing.
• • Sound knowledge of PC application software including the CAPSIL system.
• • Sound knowledge of computer software packages such as word processing and spreadsheet applications.

Qualifications

• • Associate's Degree in Business, Management, Marketing or a related discipline from a recognised tertiary institution.
• • Successful completion of LOMA (parts 1 and 2) or other industry related designation.
• • Two (2) years’ working experience within the insurance industry.

Additional Information and Instructions

If this role is of interest to you, kindly submit an application via Sagicor's career portal no later than April 18, 2025. 🙏 We appreciate all applications; however, only shortlisted candidates will be contacted.

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