SPE-Claims HC

3 - 5 years

3 - 5 Lacs

Posted:1 week ago| Platform: Naukri logo

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Work Mode

Work from Office

Job Type

Full Time

Job Description



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.

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