Job Summary
We are seeking a skilled SPE-Claims HC professional with 3 to 5 years of experience in the Life and Annuity domain. The ideal candidate will possess strong technical expertise in Life and Annuity Domain Knowledge with a preference for those with experience in Life and Annuities Insurance. This role requires working from the office during night shifts with no travel required.
Responsibilities
- Analyze and process claims efficiently to ensure timely resolution and customer satisfaction.
- Collaborate with team members to identify and implement process improvements in claims handling.
- Utilize Life and Annuity Domain Knowledge to accurately assess and manage claims.
- Communicate effectively with stakeholders to provide updates and gather necessary information.
- Ensure compliance with company policies and industry regulations in all claims activities.
- Maintain accurate records and documentation for all claims processed.
- Provide exceptional customer service by addressing inquiries and resolving issues promptly.
- Contribute to team meetings and discussions to share insights and best practices.
- Monitor claim trends and provide feedback to management for strategic planning.
- Assist in training and mentoring junior team members to enhance their skills.
- Participate in quality assurance activities to ensure high standards in claims processing.
- Support the development and implementation of new claims management systems.
- Adapt to changes in processes and technology to improve efficiency and effectiveness.
Qualifications
- Possess strong technical expertise in Life and Annuity Domain Knowledge.
- Demonstrate experience in Life and Annuities Insurance is preferred.
- Exhibit excellent analytical and problem-solving skills.
- Show proficiency in claims management software and tools.
- Display strong communication and interpersonal skills.
- Maintain attention to detail and accuracy in all tasks.
- Demonstrate ability to work independently and as part of a team.
Certifications Required
Certified Life and Annuity Professional (CLAP) or equivalent certification preferred.