Experienced in policy administration and claims processing, with a strong focus on compliance and accuracy. Proven ability to manage documentation and ensuring regulatory adherence.
• Processed and maintained life annuity insurance policies, including new business, renewals, and terminations.
• Verified policyholder information, premium payments, and beneficiary data in accordance with company and regulatory standards.
• Handled customer inquiries related to annuity payouts, fund values, and maturity benefits.
• Coordinated with underwriters and actuaries for accurate policy servicing.
• Ensured compliance with AML/KYC regulations and company SOPs.
• Managed documentation and correspondence related to life annuity claims and settlements.
• Used tools like [ platinum, AWD, cyberlife, .] to manage policy lifecycle
• Reviewed and processed healthcare insurance claims with high accuracy and compliance to policy guidelines.
• Ensured timely adjudication of claims for medical, dental, and vision services.
• Verified insurance coverage and patient eligibility using internal systems and external portals.
• Coordinated with providers, patients, and insurance companies to resolve discrepancies or denied claims.
• Maintained 98%+ accuracy in data entry and claim review as per audit standards.
• Handled confidential patient information in compliance with HIPAA regulations.
• Trained new team members on claim processing systems .
• Prepared detailed reports for claim status, trends, and error analysis to support team leads and management.