Officer - Manager (Claims & Medical Networks Dept.)

Job Description

Title: Officer - Manager (Claims & Medical Networks Dept.)

Company Name: Astha Life Insurance Company Limited

Vacancy: 2

Age: 28 to 40 years

Job Location: Dhaka (Mohakhali)

Salary: Negotiable

Experience:

• 3 to 7 years
• The applicants should have experience in the following business area(s): Insurance

• Masters
• Bachelor/Honors

• Bachelor’s / Master’s degree in any discipline.

• Educational Qualification may be relaxed for an experienced candidate.

• 3 to 7 years
• The applicants should have experience in the following business area(s): Insurance

• Age 28 to 40 years
• Only Male

• 3– 8 years of experience in reputed Life Insurance Company.

• Prior experience in Life Insurance Claims/ Group Servicing/ Medical Network Management will be given preference.

• Working experience in Life Insurance company is preferable.

• Strong knowledge of Life Insurance claims settlement procedures and policy terms.

• Excellent communication, negotiation and comfortable working with ERP systems.

• Leadership ability to manage the team.

• Good interpersonal and relationship management skills.

• Advanced proficiency in Microsoft Excel for data analysis and report preparation

• Ability to work under pressure and meet deadlines.

• Review and assess claim documents for accuracy, completeness, and compliance with company policies and procedures.

• Communicate with policyholders, beneficiaries, and relevant parties to collect necessary information and supporting documents for claim processing.

• Conduct thorough investigations to determine the validity of claims and ensure adherence to policy terms and conditions.

• Collaborate with medical professionals, hospitals, diagnostic centers, and legal advisors to evaluate claims when necessary.

• Maintain accurate records and documentation related to claims processing and prepare regular or ad hoc reports.

• Analyze claims data and trends to identify potential risks, irregularities, or fraudulent claims.

• Monitor claim processing timelines and ensure efficient service delivery to policyholders.

• Provide 24/7 support for cashless services and handle various customer queries related to claims.

• Coordinate meetings with corporate clients and conduct post-sales presentations to ensure effective service delivery and client engagement.

• Work closely with the business team to ensure efficient and timely delivery of all group servicing activities.

• Assist in internal and external audits related to claims management and ensure compliance with regulatory guidelines.

• Perform any other responsibilities assigned by the supervisor or management as required.

• Attractive Salary Package (Negotiable).

• Two Festival Bonus and One Noboborsho Bonus.

• Provident Fund.

• Group Insurance Coverage.

• Subsidized Lunch Facilities.

• 02 weekly holidays.