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Senior Claims Executive

Keywords / Skills : Senior Claims Executive

Posted: 2019-10-30

Banking/Accounting/Financial Services
Software Engineer/Programmer
Posted On
30th Oct 2019
Job Ref code
Job Description
  • Responsible for product launches and project lead for Life Claims.
  • Documents review such as Product Specification, Contract Provisions, Product Summary, Handbook, Policy Schedule, BRD and letter templates have been finalized.
  • Working with ITCM, Product Development Team and other business users to gather and provide requirements, determining the potential solutions with technical and impact analysis, accountable for the successful implementation of claim system and processes for the product launch, including preparing test plans, perform and support UAT and provide training to the users.
  • Responsible for the day to day claims operation duties within the team, ensuring valid claims are assessed according to Policys terms & benefits, approved and pay within the given authority limit.
  • Provide claims statistics reporting.
  • Compile with regulatory and risk management controls, corporate policies, procedure and claims guidelines.
  • Prompt delivery of given tasks and duties when assigned to adhoc project and initiatives.
  • Settling claims promptly, accurately and fairly.
  • Timeliness in reports preparation and completion of assigned tasks.
  • Responsible for promoting an environment where a risk management culture can flourish.
  • Ensure that risks taken in own areas of work are controlled within approved limits.
  • Handling complaints effectively and timely.
Effective Risk Management/Governance
  • Ensure all claims documentation and procedures adhere to company and claims management requirements
  • Ensure key risks have been understood, identified and managed and/that, where concerns or doubts exist, are raised with line management.
  • Ensure appropriate use of data intermediaries and other third party vendors, as well as for transfers of personal data outside of Singapore, including ensuring that adequate contractual safeguards are put in place, and/or appropriate consents has been obtained.
  • Responsible for compliance with applicable laws and regulations (including personal regulatory accountabilities in relation to fitness and propriety), and relevant Avivas Business Standards.
  • Ensure that employees receive adequate training to fulfil their compliance obligations.
  • Ensure that new regulatory requirements impacting the department/function are implemented, and an effective process is in place for regulatory consultations to be reviewed and analysed by subject matter experts.
  • Undertake regular self-assessments of the effectiveness of controls using tools such as regulatory obligations mapping to confirm compliance.
  • Ensure that potential control gaps, failures or breaches that could or have already resulted in a regulatory breach are escalated in accordance with issued guidelines.
  • Ensure that potential control gaps, failures or breaches that could or have already resulted in a regulatory breach are escalated to line management in accordance with issued guidelines.
  • Support Line Management to ensure that current and planned business operations are within BUs risk appetite.
Fair Dealing Outcomes
  • Ensure full understanding of Fair Dealing Outcomes and ones own accountability in delivering these outcomes as applicable to the role
  • Diploma/Degree holder
  • Insurance professional qualifications preferred
  • Able to communicate effectively with all levels
  • Good technical knowledge of Life Insurance
  • Good team worker and service-oriented
  • Results-focused personality is essential
  • Proficiency in computer applications - Microsoft office

About Company

We help our 33 million customers to save for the future and manage the risks of everyday life. To give these customers the best possible products and service we know we must make Aviva the most attractive choice for talented, entrepreneurial people with diverse backgrounds and an evolving range of expertise and insight.So, were passionate about helping our 29,500 people to do the best work of their lives, to enable them to make a positive difference to the lives of our customers.
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