Duties and Responsibilities:

• Direct and supervise claims activities with representatives of partner institutions.
• Conduct necessary investigations, validations and evaluations of claims filed.
• Conduct continuing information dissemination in the area of coverage (Regular visits on the areas covered and regular visit to clients);
• Consult with related parties such as lawyers, physicians, and other experts related to claims when needed.
• Communicate and work on claims assessment and settlement with representatives of partner institutions to collect claim documents and information for claim investigation report.
• Submit documents required for clams’ assessment as per the annexure1 to Sri Lankan team via either OASYS system or agreed systems.
• Provide claims settlements in accordance with insurance policies to be effectively in accordance with the relevant regulations.
• Promptly respond to client’s queries related to claims or advise clients of any concern regarding claim services.
• Ensure the maintenance of an appropriate recording and filing system of all claims.
• Maintain current, completed, and accurate premium registers and other related underwriting records in the prescribed forms.
• Find out the challenges, comments, and suggestions regarding our insurance services for improvement.
• Understand the company’s policies, procedures, internal rules and guidelines.
• Finding local partners with clinics, hospitals, and garages, in order to provide simplified service for client needs around provinces.
• Check the accuracy of monthly report submitted by branches against partner database.
• Performs any other duties as assigned by supervisor.

Minimum Competencies Required:

• Bachelor’s degree in business or related field.
• At least two years’ experience in claims.
• Strong analytical skills.
• Good problem solving and complaint handling skills.
• Good interpersonal and negotiation skills.
• Integrity and hard-working.
• Good command in English.
• Willing to travel to work in the field/ provinces.