Join Swiss Re L&H Claims team and work closely with clients and internal stakeholders to implement claims management techniques, ensure high-quality standards, and support business goals. Handle various types of claims, conduct audits, develop training materials, and contribute to the growth and success of the company. Excellent communication, collaboration, and problem-solving skills are required.
About the Role
This role provides an excellent opportunity to be a part of Swiss Re L&H Claims team and collaborate with clients and various teams within Swiss Re locally and regionally. This role will be instrumental in the implementation of a significant and relevant claims' philosophy whilst promoting and sharing standard process claims management techniques with clients and internal stakeholders. In this role, you will:
- be handling mortality, critical illness, hospital cash, disability etc. claims.
- Assess and handle client claims case referrals within the terms and conditions of the policy within the agreed turnaround times.
- Handle the day-to-day planning and operations to carry out their responsibilities optimally
- Ensure Client Audits are conducted within internal framework and supervise implementation of any remedial actions to improve claims standards.
- Support the Claims Manager in developing client portfolio management strategy, planning and carrying out Claims Audits to ensure alignment to business goals and priorities
- Ensure required claims data and reports are accurate and complete for business reporting purposes (KPIs, etc.)
- Work closely with team members in handling client relationships, providing solutions and value added claims services, including claims case management, training, seminars, projects etc.
- Support the Claims Manager in tendering for new business, innovative product development and in promoting claims profile and expertise in the India market;
- Ensure treaty documentation contains agreed terms and conditions, and the relevant claims clauses and articles according to acceptable SR standards.
- Working closely with the XFT to meet the business objectives and strategic vision of the Branch/Company
About You
Education and professional experience:
- 6-7 years' experience
- Fellow of Life Mgt. Insurance (FLMI), Fellow of Life & Health Claims (FLHC)/ Associate of Life & Health Claims (ALHC), Associate of Customer Service (ACS) certification is a plus
- A degree/diploma in insurance or similar discipline (insurance, medicine, healthcare, legal, actuarial, business disciplines, data science and mathematics) is an advantage.
- Medical background is preferable.
Skills requirements:
- Significant awareness of life insurance markets and portfolio dynamics in India Market
- Knowledge of products being offered in these markets along with the ability to anticipate and/or mitigate potential risks and identify product development or service opportunities
- Understanding as well as knowledge of the insurance/reinsurance industry
- The ability to conduct client audits and develop training materials from audit findings to strengthen client's technical knowledge
- Excellent written and verbal communication skills in English, other languages a plus
- Familiar with common office applications (e.g. Word, Excel and Powerpoint). Willing to learn new computer skills.
Behavior requirements:
- Good track record in your career of high integrity, of dedication, client-centric approach, agility, of sensibly creating or trying new ways with success and/or learning.
- Ability to work independently, Self-motivating and eager to seek challenges
- Inter-personal, negotiation, communication, influencing and presentation skills
- Collaboration capability and the ability to work in cross-functional teams
- Courage to challenge the status quo and to explore new ideas that improve our business
