Claims Case Manager Role
This position involves managing claims efficiently, adhering to SLAs and business rules. Strong knowledge of regulatory compliance in insurance claims is essential.
Main Responsibilities:
* Ensure accurate claim management within agreed SLAs, identifying potential risks for corrective action.
* Adhere to SLAs, business rules, life code, SIS Act, and super code regulations to maintain compliance.
* Perform quality assurance tasks to ensure proficient case management through end-to-end claim reviews.
* Take ownership of complex enquiries, providing support for incident remediation and complaint management.
* Collaborate with the training team to facilitate training sessions for the claims administration team.
Qualifications and Skills:
Strong knowledge of SLAs, regulatory compliance in insurance claims, and training capabilities are required. Excellent communication and problem-solving skills are also essential.