Insurance Claim Verification and Control Checking Officer

Job Description

Title: Insurance Claim Verification and Control Checking Officer

Company Name: Guardian Life Insurance Limited

Vacancy: 1

Job Location: Dhaka

Employment Status: Full-time

Educational Requirements:
∎ At least Bachelor Degree in Business Administration or Finance from reputed University.

Experience Requirements:
∎ 2 to 3 year(s)

Job Responsibilities:
∎ Complete pre-contract and post-contract checks of Group Life Contract to ensure robust systems are in place and implement recommendation.
∎ Design and tailor the nature and the scope of verification work to address the size and nature of claims and uncover and address irregularities.
∎ Regularly review settled life claims to ensure close oversight on the possible miss out of potential non-payable/manipulated claims.
∎ Assess and verity potential manipulated claims and establish and maintain a risk register database of those organizations to determine the scope of the work required to define future potential mitigation requirements.
∎ Be responsible for undertaking verification of claims and to ensure management control systems operate satisfactorily.
∎ Complete regular claims checking and sampling for verification, and produce reports as necessary, highlighting areas of non-compliance or potentially ineligible claim settlement, detailing irregularities that will need reported to management committee for recovery action. Ensure sampling of claims in line with the contract and verify as specified in the agreement.
∎ Managing claim related projects, developing and implementing new procedures for claims processing to drive forward continuous process improvement.
∎ Coordinate audit functions with internal and external auditors as needed when needed.
∎ Support the development and implementation of the Claim related policies.
∎ Liaise with claim staff and a wide range of group customers, hospital networks and support the maintenance of positive client relationships.
∎ Work in conjunction with other department staff to implement required controls are of mutual concern.
∎ Liaise with the finance department for accurate and timely production of Management and Financial information. Ensuring robust processes and procedures are in place for accurate recording of data.
∎ Demonstrate a high level of personal integrity and maintain professional standards throughout the organization
∎ Deliver results against directorate and business objectives.

Additional Requirements:
∎ Both males and females are allowed to apply

Salary: Negotiable

Compensation & Other Benefits:
∎ Medical allowance, Performance bonus, Provident fund, Weekly 2 holidays, Insurance, Gratuity
∎ Lunch Facilities: Partially Subsidize
∎ Festival Bonus: 2

Application Deadline: 17 Oct 2020

Company Information:
∎ 7 Oct 2020
∎ Guardian Life Insurance Limited
∎ Address : Head Office: Police Plaza Concord (13th Floor), Tower - 02, Plot # 02, Road # 144, Gulshan Avenue, Dhaka-1212
∎ Web : www.guardianlife.com.bd
∎ Business : Guardian Life Insurance Limited is the fastest growing life insurance company in the country. Its main sponsors are Apex, BRAC, and Square and other reputed local and foreign investors. Guardian Life Insurance Limited is committed to the same high values, standards and culture as espoused by our sponsors. Guardian Life Insurance Limited has a vision to bring about a positive change & trust in the life insurance business, through product and process improvement, operational efficiency, excellent service and customer focus. At the end of 5-years of its operation, Guardian Life has achieved following market position in the country:

* Achieved Insurance Asian Awards 2017 in the category of Best Insurance Product of the Year, Bangladesh and 2018 proud winner of 03 Awards.
* 3rd largest group insurance service provider and with lowest management expenses.
* Highest premium earner among the 4th generation life insurance companies.
* Highest growth rate for last two consecutive years.

Guardian Life Insurance Limited is seeking highly motivated and talented individuals who have integrity, the relevant experience and a positive attitude to help us bring about the desired change in the Life Insurance industry.

Category: Bank/Non-Bank Fin. Institution