Group Life Claims Deputy Manager at AIICO Insurance

• The Group Life Claims Deputy Manager at AIICO Insurance will be responsible for managing and overseeing the claims process for group life insurance policies.
• This role involves ensuring the accurate, efficient, and timely processing of claims, coordinating with various departments, and maintaining high levels of customer satisfaction.
• The Deputy Manager will assist the Group Life Claims Manager in strategizing and implementing policies and procedures to optimize claims operations.

FUNCTIONS & RESPONSIBILITIES

• Oversee the end-to-end claims process for group life insurance, ensuring accuracy and compliance with company policies and legal regulations.
• Review and approve large and complex claims, ensuring all necessary documentation and evidence are provided.
• Coordinate with underwriting, finance, and other departments to facilitate smooth claims processing.
• Manage a team of claims adjusters and examiners, providing guidance and support to ensure high performance and efficiency.
• Assist in the development and implementation of claims handling policies and procedures to improve efficiency and service quality.
• Monitor and analyze claims data to identify trends and areas for improvement.
• Ensure compliance with internal policies and external regulations, staying updated on industry changes and best practices.
• Provide training and development opportunities for the claims team to enhance their skills and knowledge.
• Conduct regular performance evaluations and provide constructive feedback to team members.
• Foster a collaborative and supportive team environment.
• Prepare and present regular reports on claims status, trends, and key performance indicators to senior management.
• Analyze claims data to identify patterns, fraud, and opportunities for process improvement.
• Utilize data to forecast future claims trends and inform strategic decision-making.
• Serve as a point of escalation for complex or disputed claims, providing resolutions in a professional and timely manner.
• Communicate with policyholders, beneficiaries, and intermediaries to explain the claims process, requirements, and decisions.
• Ensure a high level of customer satisfaction by addressing inquiries and concerns promptly and effectively.

CORE COMPETENCIES

• Leadership
• Communication
• Customer Service
• Organizational Skills
• Attention to Detail

FUNCTIONAL COMPETENCIES

• Claims Management Systems
• Regulatory Knowledge
• Analytical Skills
• Financial Acumen

EDUCATION AND EXPERIENCE

• Bachelor’s degree in Insurance, Business Administration, Finance, or a related field. A Master’s degree is a plus.
• Professional certification in insurance (e.g., Chartered Insurance Institute certification) is mandatory.
• Minimum of 5-7 years of experience in the insurance industry, with at least 3 years in a managerial role within life insurance claims management.
• Proven track record of managing and improving claims processes and teams.
• Proven leadership and management experience.
• Strong technical knowledge of group life insurance products and claims processes.
• Excellent communication, problem-solving, and analytical skills.