Executive - Unstructured Claims

Executive – Unstructured Claims

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

The Job Role:

The selected candidate will be responsible for assisting in prompt ,effective and fair settlement of all valid unstructured claims as per the limits established in the delegation of authority, providing a speedy and efficient service in settling claims and proper follow up on all pending claims at Union Assurance

Principle Accountabilities:

• Support the unstructured claims department by collecting accurate information and required documentation to facilitate timely claim processing.
• Review medical reports, treatment records, police reports, and related documentation to assess claims.
• Process unstructured claims, including critical illness, disability, and death claims, within delegated authority limits while ensuring policy conditions are met.
• Ensure accurate and timely processing and completion of all assigned claims.
• Monitor and track claim progress while maintaining proper follow-up on pending claims
• Maintain claim records, working files, and correspondence for reference and audit purposes
• Ensure client and claim information is accurately recorded in relevant systems and databases.
• Respond to customer inquiries and resolve issues in line with established guidelines and service standards.
• Achieve individual performance targets and service level expectations for assigned claims
• Provide exceptional customer service to policyholders and other stakeholders.
• Identify potentially fraudulent claims and escalate concerns to the relevant leadership team.
• Ensure compliance with regulatory requirements, internal controls, and quality standards.

Qualifications and Experience

• Bachelor’s Degree in Insurance / Business Administration or any other relevant discipline from a recognized university or institute
• Minimum 2 years of overall experience within the insurance industry
• Knowledge of unstructured claims handling, including critical illness, disability, death claims, medical procedures, and related insurance practices
• CIP - SLII or Part / Full Qualification in Dip -CII / AIII is essential.
• Good understanding and knowledge about competitor products and practices, trends & developments in the life insurance market in Sri Lanka
• 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 02nd October 2026.