Group Life Claims Officer
Core
Assess, process, and administer Group Life insurance claims from registration to settlement, ensuring compliance with policy terms and regulations.
Role type
Group Life Claims Officer
Builds
Claim payment memoranda, recovery settlements, and claims experience data for underwriting and pricing decisions.
Domain
Insurance (Life Insurance)
Deliverable
client delivery
Required skills
Claims management, data collection and entry, report analysis, stakeholder relationship management, critical thinking, fraud investigation, recovery management
Preferred skills
Professional insurance certification
Technologies
MS Excel
Responsibilities
Process and assess Group Life claims from registration to settlement; Review claim documentation and policy provisions to determine admissibility and settlement; Investigate claims and validate supporting documents, including suspected fraud; Manage recoveries from reinsurers and co-insurers; Prepare and analyze claims reports and trend analyses; Liaise with customers, beneficiaries, brokers, and internal teams; Maintain accurate claims records and ensure regulatory compliance; Drive continuous improvement initiatives by identifying process gaps and supporting audits.