Executive - Cashless Claims

Executive – Cashless Claims

Union Assurance is a leading corporate and the fastest growing entity in the Life Insurance industry backed by the strength and stability of John Keells Holdings PLC, one of Sri Lanka's largest conglomerates.

The Job:

The person will be responsible for Assisting in prompt, effective, and fair settlement of all valid claims as per the delegation authority based on the principles of insurance, providing a speedy and efficient service in settling claims and proper follow up on all pending claims at Union Assurance

Principal Accountability:

• Manage all administration aspects of the claim including collecting accurate information and documents to proceed with a claim to enable achievement of business goals
• Process all the medical/cashless claims within the given delegation (financial) authority limits and ensure that the policy conditions are met
• Process claims that route out of automatic adjudication, within current turnaround standard
• Ensure accurate processing and completion of medical claims
• Monitor and track the progress of a claim
• Maintain key records like working files, email for reference and audit purposes
• Comprehend and respond to customer inquiries and resolve issues as per guidelines and stipulated SLAs
• Periodically liaise with sales team to understand business requirements and deliver accordingly
• Investigate potentially fraudulent claims and highlight it to leadership
• Adhere to legal requirements, industry regulations and customer quality standards set Union Assurance
• Contribute to and drive continuous process improvement

Qualifications and Experience:

• Minimum 2 years’ experience in Life Insurance industry.
• CIP - SLII or Part / Full Qualification in Dip -CII / AIII is essential
• Experience in a Life Policyholder Servicing Department will be an added advantage.
• Fair understanding on regulatory framework of Insurance industry
• Very Good knowledge on life underwriting (medical & financial), diseases, medical procedures and their impact on longevity and disability, medical tests and their interpretations.
• Broad knowledge in Microsoft office applications
• Ability to work under minimum supervision, multi-task and work under pressure
• A self-motivated individual as well as a team player

The selected candidate for the above position will be entitled to an attractive remuneration package. Applicants who are interested are encouraged to apply on or before 23rd February 2026.