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Group Life Claims Deputy Manager

AIICO Insurance

Accounting, Auditing & Finance

1 month ago

Job Summary

 

Job Description/Requirements

The Group Life Claims Deputy Manager at AIICO Insurance will be responsible for managing and overseeing the claims process for group life insurance policies. This role involves ensuring the accurate, efficient, and timely processing of claims, coordinating with various departments, and maintaining high levels of customer satisfaction. The Deputy Manager will assist the Group Life Claims Manager in strategizing and implementing policies and procedures to optimize claims operations.

Functions & Responsibilities

  • Oversee the end-to-end claims process for group life insurance, ensuring accuracy and compliance with company policies and legal regulations.
  • Review and approve large and complex claims, ensuring all necessary documentation and evidence are provided.
  • Coordinate with underwriting, finance, and other departments to facilitate smooth claims processing.
  • Manage a team of claims adjusters and examiners, providing guidance and support to ensure high performance and efficiency.
  • Assist in the development and implementation of claims handling policies and procedures to improve efficiency and service quality.
  • Monitor and analyze claims data to identify trends and areas for improvement.
  • Ensure compliance with internal policies and external regulations, staying updated on industry changes and best practices.
  • Provide training and development opportunities for the claims team to enhance their skills and knowledge.
  • Conduct regular performance evaluations and provide constructive feedback to team members.
  • Foster a collaborative and supportive team environment.
  • Prepare and present regular reports on claims status, trends, and key performance indicators to senior management.
  • Analyze claims data to identify patterns, fraud, and opportunities for process improvement.
  • Utilize data to forecast future claims trends and inform strategic decision-making.
  • Serve as a point of escalation for complex or disputed claims, providing resolutions in a professional and timely manner.
  • Communicate with policyholders, beneficiaries, and intermediaries to explain the claims process, requirements, and decisions.
  • Ensure a high level of customer satisfaction by addressing inquiries and concerns promptly and effectively.
  • CORE COMPETENCIES

  • Leadership
  • Communication
  • Customer Service
  • Organizational Skills
  • Attention to Detail
  • FUNCTIONAL COMPETENCIES

  • Claims Management Systems
  • Regulatory Knowledge
  • Analytical Skills
  • Financial Acumen
  • EDUCATION AND EXPERIENCE

  • Bachelor’s degree in Insurance, Business Administration, Finance, or a related field. A Master’s degree is a plus.
  • Professional certification in insurance (e.g., Chartered Insurance Institute certification) is mandatory.
  • Minimum of 5-7 years of experience in the insurance industry, with at least 3 years in a managerial role within life insurance claims management.
  • Proven track record of managing and improving claims processes and teams.
  • Proven leadership and management experience.
  • Strong technical knowledge of group life insurance products and claims processes.
  • Excellent communication, problem-solving, and analytical skills.
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