PURPOSE OF THE ROLE
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 Policy’s 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 Aviva’s 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 BU’s risk appetite.
Fair Dealing Outcomes
Ensure full understanding of Fair Dealing Outcomes and one’s own accountability in delivering these outcomes as applicable to the role.
Total no.of colleagues reporting to the same manager: 6
RELATIONSHIPS(INTERNAL & EXTERNAL)
Business, Underwriting and Policy Servicing and System Support Units to ensure appropriate claims handling.
Doctors, Diagnostic Centers, Hospitals, and Third Party Administrators to provide cost effective and quality cares.
Clients, Intermediaries, Solicitors, CPF Board, MOH and reinsurers to ensure proper claim document submission and payments.
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