Executive Officer - Claims & Payments

Key Responsibilities:

• Process Group Health, Group Life Claims and Refund Payments in accordance with company policies and procedures.
• Manage Inpatient and Out-Patient Health Claims Payments, ensuring compliance with relevant regulations.
• Oversee Individual Policy Payments, maintaining accurate records and resolving discrepancies.
• Reconcile Management Information Systems (MIS) with the General Ledger, identifying and addressing any discrepancies.
• Implement automation solutions with technical team to ensure a smooth and efficient workflow.
• Collaborate with relevant departments to resolve payment-related issues and improve processes.
• Prepare summaries of policy payments, providing insights to support business decisions.

• Minimum bachelor’s degree in a relevant field (e.g., Business Administration, Finance).
• Proven experience in a similar role, preferably in the life insurance industry.
• Strong knowledge of claims and payment processes, including relevant regulations.
• Excellent analytical, problem-solving, and communication skills.
• 1-2 years’ experience, preferably in Life Insurance Company.