Life Claims Administrator

Job description

Summary

Our Client  is currently seeking an experienced Life Claims Administrator for their Trinidad Office.


Key Responsibilities

  • Reviews and approves (as applicable) the submission of all life claims made against company-issued policies and products
  • Oversees the work of Claims Examiners to ensure that all procedural requirements are met before claims can be approved for payment within stated limits
  • Conduct random validation on Claims approved by Examiners
  • Effectively discharge the Company’s People Leader Goal
  • Organize and prioritize work in the Claims Department to consistently meet standard TAT’s
  • Intervenes and resolves conflicting issues in respect of claims submissions
  • Ensures that all supportive paper-work and related requirements are in place to support the payment of claims made against company-issued policies and products
  • Prepares and presents supporting weekly & monthly reports, analyses and recommendations on life-claims portfolio performance
  • Assists clients/customers as required in minimizing the occurrences of incorrect claims submissions
  • Undertakes special projects and assignments as may be determined by the reporting Manager from time to time
  • Periodically review processes and resources for optimal performance and making recommendations to management
  • Assists with customer queries as required
  • Provides ad hoc requested reports as required
  • Perform other related duties as assigned

Requirements

Experience

  • Seven (7) years demonstrable experience in an insurance life claims administration (processing/review) environment of which at least 3 years at Supervisory level

Education and Training

  • Associate Degree in a related discipline from an accredited institution.
  • LOMA/ ACS/ ALHC
  • Above-average knowledge of the credit union movement and its dynamics 

Skill Requirements 

  • Excellent communications skills – Verbal & Written
  • Strong negotiation and conflict-resolution skills
  • Proven supervisory and people leadership skills
  • Very good knowledge and use of MS Office Excel and Powerpoint
  • Proficiency in reviewing policy contracts terms and conditions in application to Claims adjudication
  • Excellent analytical and reporting skills