About Company
Swan Life Ltd, a proud member of The Swan Group, is a leading financial services provider in Mauritius, committed to protecting and enhancing the financial well-being of individuals and businesses. With a rich history spanning over a century, Swan Life has built a reputation for trust, innovation, and exceptional customer service. We offer a comprehensive suite of life insurance, pension, and investment products tailored to meet the evolving needs of our diverse client base. At Swan Life, we believe in fostering a supportive and dynamic work environment where our employees can thrive, contribute meaningfully, and grow professionally. We are dedicated to leveraging technology to deliver seamless experiences and are embracing flexible work models to attract and retain top talent. Join a company that values its people, embraces progress, and makes a tangible difference in the community.
Job Description
Are you a meticulous and detail-oriented professional with a passion for excellent customer service? Swan Life Ltd is seeking a dedicated Remote Claims Processor to join our dynamic team. In this pivotal role, you will be responsible for accurately and efficiently processing a variety of insurance claims, ensuring adherence to policy terms, regulatory guidelines, and internal procedures. This fully remote position offers the flexibility to work from your home office while remaining an integral part of our collaborative and supportive team. You will be instrumental in delivering on our promise to clients during their time of need, contributing directly to their peace of mind and satisfaction. The ideal candidate will possess strong analytical skills, exceptional communication abilities, and a proven track record in claims processing or a related administrative field. You will be expected to manage a diverse caseload, prioritize tasks effectively, and maintain a high level of accuracy and confidentiality. If you are a self-starter who thrives in an independent yet team-oriented environment, and are eager to make a significant impact from day one, we encourage you to apply.
Key Responsibilities
- Review and accurately process various types of insurance claims (e.g., life, health, disability) in accordance with policy provisions, company procedures, and regulatory requirements.
- Verify claim eligibility by reviewing documentation, medical records, and policy terms.
- Communicate clearly and empathetically with policyholders, beneficiaries, and healthcare providers to gather necessary information or provide claim status updates.
- Investigate discrepancies, resolve issues, and escalate complex cases to senior claims adjusters or management as needed.
- Maintain meticulous and confidential records of all claim activities and communications within the company's claims management system.
- Ensure timely processing of claims to meet service level agreements and customer expectations.
- Collaborate with other departments, such as underwriting and customer service, to ensure a smooth claims experience.
- Identify potential fraud indicators and report suspicious claims for further investigation.
- Stay updated on industry regulations, company policies, and best practices in claims processing.
- Adhere strictly to data privacy and security protocols while handling sensitive information.
Required Skills
- Minimum of 1 year of experience in insurance claims processing or a similar administrative role within financial services.
- Excellent written and verbal communication skills in English and French.
- Strong analytical and problem-solving abilities.
- High attention to detail and accuracy.
- Proficiency in using claims management software and Microsoft Office Suite (Word, Excel, Outlook).
- Ability to work independently, manage time effectively, and meet deadlines in a remote work environment.
- Demonstrated ability to handle sensitive information with confidentiality and discretion.
- Customer-centric approach with a strong commitment to service excellence.
Preferred Qualifications
- Diploma or Degree in Insurance, Business Administration, Finance, or a related field.
- Experience with life and health insurance claims specifically.
- Knowledge of Mauritian insurance regulations and compliance standards.
- Experience working in a remote capacity previously.
- Certifications in insurance or claims handling (e.g., CII, LOMA).
Perks & Benefits
- Competitive salary and performance-based incentives.
- Comprehensive health and life insurance coverage.
- Generous annual leave and sick leave policies.
- Opportunities for professional development and career growth.
- A supportive and inclusive remote work environment.
- Employee wellness programs.
- Company-sponsored training and certifications.
- Contribution to a reputable pension scheme.
- Access to modern digital tools and resources for remote work.
How to Apply
If you are ready to take on this exciting remote opportunity and contribute to a leading insurance provider in Mauritius, we invite you to apply. Please click on the application link below to visit our careers page. Submit your detailed CV and a cover letter outlining your relevant experience and why you are the ideal candidate for this role. Only shortlisted candidates will be contacted for an interview.