Senior Claims Specialist

FWD Life Insurance Corporation

Philippines
**
Complex claims assessment expertise
Policy provision interpretation skills
Regulatory compliance adherence
** FWD Life Insurance Corporation is seeking a Senior Claims Specialist to manage complex insurance claims, ensuring decisions align with policy provisions and regulatory standards. The role focuses on enhancing customer experience through efficient claims processing and cross-functional collaboration. **

Job Summary

  • The role ensures accurate and timely assessment of complex, high-risk insurance claims by providing technical expertise and decision support.
  • Candidates will act as subject-matter experts on policy interpretation while validating medical evidence and investigative findings for audit readiness.
  • The position involves supporting the training of new team members and participating in projects aimed at improving claims workflow efficiency.

Matching Summary

Match Score: 75

** FWD Life Insurance Corporation is seeking a Senior Claims Specialist to manage complex insurance claims, ensuring decisions align with policy provisions and regulatory standards. The role focuses on enhancing customer experience through efficient claims processing and cross-functional collaboration. **

Skills & Requirements

Must-have

  • complex claims assessment expertise
  • policy provision interpretation skills
  • regulatory compliance adherence
  • medical evidence validation
  • escalation to Claims Committee

Nice-to-have

  • subject matter expert knowledge
  • cross-functional collaboration ability
  • process improvement initiative experience
  • digital system implementation support

Key Requirements

  • Experience with contestability and non-disclosure cases
  • Knowledge of non-forfeiture provisions and grace period rules
  • Ability to escalate cases to Underwriting, Medical, Legal, or Finance

Work Rights

Not specified

Tailored Resume

Cover Letter