Head of Claims
Full time @Guardian Life Insurance Limited posted 1 week ago in Insurance Shortlist Email JobJob Detail
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Job ID 18157
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Career Level Executive
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Experience 10+ Years
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Min. Qualification Bachelor's Degree
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Gender Any
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Industry Experience Insurance
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No. of Vacancy 1
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Job Location Dhaka Division
Job Description
Education
- Bachelor degree in any discipline
- Masters degree in any discipline
Experience
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- 10 to 15 years
Additional Requirements
- At least 10–15 years of experience in insurance claims, with a minimum 05 years in a leadership role.
- Strong knowledge of life and health insurance products, regulatory guidelines, and claims processes.
- Experience in risk management, fraud detection, and legal case handling.
Responsibilities & Context
Job Purpose:
To lead and manage the claims operations of Guardian Life Insurance Ltd., ensuring efficient, complaint-focused service delivery while driving strategic improvements and cost optimization.
Key Responsibilities:
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Develop and implement a strategic claims framework aligned with business goals and customer expectations.
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Lead, mentor, and manage the claims team to ensure high performance, service excellence, and continuous development.
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Drive operational efficiency by streamlining processes and ensuring timely, accurate claims settlement.
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Ensure regulatory compliance with IDRA guidelines and internal policies across all claims operations.
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Implement automation and digitization initiatives to enhance claims processing speed, accuracy, and scalability.
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Deploy and manage GOP Service Facilitators at top hospitals and optimize GOP strategies for better provider engagement.
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Strengthen fraud management systems by implementing robust detection, prevention, and investigation mechanisms.
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Foster empathetic and transparent communication with claimants and beneficiaries throughout the claims lifecycle.
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Collaborate with hospitals, TPAs, and service providers to ensure seamless medical claims processing and resolution.
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Establish and monitor KPIs and MIS dashboards to track claims performance, ensure audit readiness, and support strategic decisions.
Compensation & Other Benefits
- Performance bonus,Provident fund,Weekly 2 holidays,Insurance,Gratuity,Mobile bill
- Lunch Facilities: Partially Subsidize
- Salary Review: Yearly
- Festival Bonus: 2
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