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5 R/GA Media Group Jobs
Manager - Claims
R/GA Media Group
posted 5mon ago
Job Role Insights
Flexible timing
Key skills for the job
Job Description
Position Overview
- Provides technical claims expertise on Life, Group and Heath Business to clients.
- Identifies process improvements and needs for training.
- Assist in external client audits to verify accuracy of claims adjudication practices and to ensure compliance with the terms of the treaty (ies).
- Develops relationships with client companies and RGA Re associates to ensure desired changes in practice are obtained.
- Reviews and approves the liability on large, complex claims.
- Provides technical expertise on disputed claims. Represents RGA Re in various claims industry activities.
- Provides feedback to other functional areas (Underwriting, Pricing, Business Development and Administration) on issues and trends identified during the Claims processes.
- Ensures reporting and process controls are in place and the relevant controls are operating.
Responsibilities
Strategic / Operations:
- Under limited supervision, employee refers to clear objectives, subject to controls on results.
- Decision making involves policy decisions on occasions where new circumstances arise and no guidelines or precedents are available.
- Develops and implements processes which allow RGA Re to identify and resolve unfavourable trends in ceding company claims handling.
- Establishes and implements an internal and external process for effective customer claims evaluations and feedback.
- Recommends and participates in the development and implementation of process improvements that may extend beyond area of oversight and with the approval of Operations leadership.
Financial Results:
- Works within the authorizations delegated in specific limits; approves and authorizes cash disbursements up to prescribed limits.
- Sharing of referral Claims numbers and metrics with respective team within the stipulated time frame.
Business Development / Client Relations:
- Develops positive relationships with customers and persuades them to settle claims and/or change their overall customer practice to the advantage of RGA Re.
- Participates in the identification of service opportunities that will encourage enhanced client claim handling.
- Exclusive onsite claims support to key client on a bi-monthly basis if required by Client
- Regular benchmarking or survey to standardize the process across the industry
Public Relations (Industry Involvement):
- Represents RGA Re at industry meetings and exercises influence, as appropriate, with customers.
- Keeps up to date with changes in claims adjudication for direct insurance claims assessors and latest trends
- As per requirement have good connect with external Investigation agencies/ legal experts across the industry to strengthen and effectively manage risk.
- Acts as a resource to customers and other RGA claims associates to assure knowledge transfer.
- Organize regular training/ seminars on claims management for claims assessors for better risk management.
Infrastructure: Overall
Standards / Procedures and Tools:
- Identifies undesirable underwriting and/or claim adjudication practices that require a need to escalate issue to departmental Head/ Managing Director so as to take appropriate measure to mitigate risk.
- Retroceded claims: assures that recoverable on large, complex retroceded claims are paid promptly.
- Verifies daily claim register by scanning the register to ensure accruals are reasonable, required fields are completed and that the register is free of obvious errors. Authorizes accrual vouchers.
Company Structure:
- Collaborates with CMO, Underwriters, Administrators, Valuation, business development and other team members to obtain expert knowledge and to assist in identifying solutions and resolutions to problems/issues resulting in quality decisions and client satisfaction.
Governance / Compliance:
- Assist the Admin Team to implement administrative procedures and controls for the individual claims management functions; ensures existing procedures comply with a variety of local and international legislation (eg, SOX compliance with claims, data protection legislation
Risk Management:
- Ensure all Individual and Health claims management procedures, authorities; reporting and monitoring systems are operational and as agreed within the risk management function of the company.
- Develop Business rules for Claims ensuring effective Risk Management.
- Analyze Claims data and identifying risk/ trends to curb ant selection and ensure better risk management.
Requirements
Education and Experience
- Bachelor s degree, (Pharmacy, Science preferred)
- Cleared Insurance related exams such as III, LOMA
- 7+ years of experience of Handling Claims (Individual, Group Health)
Skills and Abilities
- Communication Skills: Identifies the information needs of stakeholders, explains the position of the unit or the organization to them and provides appropriate advice.
- Complexity of Reasoning: Development of a new result by combining known information and techniques. Activities requiring the contribution of various resources (persons, spaces, material, budget etc).
- Understanding of the general meaning of a set of data defined with relation to a specific result.
- Good industry network across Life, General and Non-Life is preferred.
Company Overview
Reinsurance Group of America, Incorporated (NYSE: RGA) is a global industry leader specializing in life and health reinsurance and financial solutions that help clients effectively manage risk and optimize capital. Founded in 1973, RGA celebrates its 50th anniversary in 2023. Over the past five decades, RGA has become one of the world s largest and most respected reinsurers and is guided by a fundamental purpose: to make financial protection accessible to all.
RGA has been named to Fortune magazine s 2023 list of the World s Most Admired Companies, an acknowledgement that reflects our legacy of innovation, dedicated client focus, community responsibility, commitment to diversity, and long-term value creation. RGA serves clients and partners in key markets around the world and has approximately $3.3 trillion of life reinsurance in force and assets of $82.7 billion as of September 30, 2022. To learn more about RGA and its businesses, visit
Employment Type: Full Time, Permanent
Read full job description What people at R/GA Media Group are saying
What R/GA Media Group employees are saying about work life
based on 6 employees
Flexible timing
Monday to Friday
Within city
R/GA Media Group Benefits
Team Outings 
Work From Home 
Education Assistance 
Soft Skill Training 
International Relocation 
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