Officer - Senior Officer (Claims & Medical Networks Dept.)

Job Description

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

Company Name: Astha Life Insurance Company Limited

Vacancy: 1

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

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

• Age 28 to 40 years

• 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.

• Communicate with clients, policyholders, beneficiaries, and relevant parties to gather necessary information and documentation.

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

• Collaborate with medical professionals, legal advisors, and other experts as needed to evaluate claims appropriately.

• Maintain accurate records and documentation related to claims processing and providing regular/need-based reports.

• Liaise with underwriters and other internal departments to ensure timely and accurate claims settlement.

• Maintain good relationship with the Hospitals, Clinics and Diagnostic center.

• Any other need-based task assigned by the supervisor.