Lead - Claims - Life Insurance

Job Description:

managing a team to handle claims processing, ensure policy compliance, provide customer service, and maintain high productivity and quality standards. Key responsibilities include guiding policyholders, analyzing complex claims, mentoring junior staff, collaborating with other departments, and potentially identifying and mitigating fraud. The role requires strong analytical, communication, and leadership skills, along with a thorough understanding of life insurance policies and claims procedures.

Team Leadership & Management:

- Supervise and mentor a team of claims specialists, ensuring they are efficient and productive.

Claims Processing:

- Oversee the day-to-day handling of new and ongoing claims, ensuring they are processed accurately and within established timelines

Policy Interpretation & Compliance:

- Analyze claims to determine if they meet policy conditions and company guidelines, ensuring fair and compliant claim settlements.

Customer Support:

- Provide guidance and support to policyholders and claimants, answering questions and assisting them through the claims process

Quality Assurance:

- Monitor claims to ensure adherence to quality standards, implementing corrective actions when necessary and maintaining accurate reporting

Fraud Detection:

- Investigate potentially fraudulent claims and work with other professionals to mitigate financial losses for the company.

Process Improvement:

- Identify areas for improvement within the claims department and contribute to strategies that enhance efficiency and client value