Senior Executive - Unstructured Claims
Senior Executive – Unstructured 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 assist 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.
Principal Accountability:
- Support all administration aspects of the claim including collecting accurate information and documents to proceed with a claim to enable achievement of business goals
- Examine medical treatment records, police reports and medical bills to gauge the extent of liability
- Process all the unstructured claims including critical illness, disability, death etc. within the given delegation (financial) authority limits and ensure that the policy conditions are met
- Ensure accurate processing and completion of unstructured claims
- Monitor and track the progress of a claim
- Maintain key records like working files, email for reference and audit purposes.
- Ensure that client data and claims information is entered accurately into computer systems and databases
- Comprehend and respond to customer inquiries and resolve issues as per guidelines and stipulated SLAs
- Meet individual goals for claims assigned and meet the expected service levels as defined, etc.
- Provide exceptional customer service to all stakeholders
- Investigate potentially fraudulent claims and highlight it to leadership
- Adhere to legal requirements, industry regulations and customer quality standards set Union Assurance
- Perform other related duties as needed to support business needs
- Contribute to and drive continuous process improvement
Qualifications and Experience:
- Minimum 3 - 5 years’ experience in Life Insurance industry.
- CIP - SLII or Part / Full Qualification in Dip -CII / AIII is essential.
- Experience in Unstructured Claims will be an added advantage.
- Good understanding and knowledge about competitor products and practices, trends & developments in the life insurance market in Sri Lanka
- Fair understanding on regulatory framework of Insurance industry
- Fair knowledge of reinsurance arrangements.
- 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 06th August 2025.