Claims Adjudication Assistant

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 identification and advise 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.
• • 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

• • Good attitude to client service and teamwork.
• • Ability to communicate effectively.
• • Excellent human relations skills.
• • Sound knowledge of computer software packages including word processing and spreadsheet packages, and the CAPSIL system.
• • Sound knowledge of all products offered by the company.
• • Knowledge of basic medical terminology.

Qualifications

• • Minimum of six (6) CSEC or GCE level subjects including English Language and Mathematics or a Diploma in Business Management or a related discipline from a recognized institution. Successful completion of LOMA Part 1 & 2.
• • At least four (4) years’ working experience within the insurance industry would be an asset.

Additional Information and Instructions

If this role is of interest to you, kindly submit an application via Sagicor's career portal no later than February 24, 2025. 🙏 We appreciate all applications; however, only shortlisted candidates will be contacted.

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