Officer - Structured Claims

Officer – Structured 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, one of Sri Lanka's largest conglomerates.  

The Job Role: 

The person will be responsible for assisting in the prompt, effective, and fair settlement of all valid structured and corporate claims, in accordance with the delegation of authority and insurance principles. This includes providing speedy and efficient service in processing claims and ensuring proper follow-up on all pending claims at Union Assurance. 

Principle Accountabilities: 

• 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 structured claims initial screening and recommend decision to claim support. 

• Assist to achieve stipulated SLAs by timely processing all structured claims. 

• Ensure accurate initial processing and final payment processing of structured claims 

• Monitor and track the progress of the claims 

• Maintain key records like working files, email for reference and audit purpose 

• Respond to internal customer inquiries and resolve issues as per guidelines and stipulated SLAs 

• Alarm higher authorities on possible fraudulent claims  

• Adhere to legal requirements, industry regulations and customer quality standards set Union Assurance 

• Contribute to and drive continuous process improvement 

Qualifications and Experience 

• 01-02 years of experience in managing claims in the insurance industry. 

• A Full/ Part qualification in a recognized professional institute will be an added advantage. 

• Sound Knowledge in Microsoft Package  

• Exceptional interpersonal, attention to detail and problem-solving skills 

• Strong adaptability, work under pressure, and capacity to work in fast-paced environments.