This position is based in Port Moresby, and reports to the Operations Manager of BSP Life PNG Limited. The successful candidate will adjudicate life claims in accordance with BSP Life Policy Terms and Conditions, deliver exceptional service to policyholders, insurance intermediaries, advisors, and business associates, and ensure efficient processes within the Benefits Management team while maintaining a thorough understanding of business rules and compliance with established procedures.

• Responsible for accurate assessment, independent investigation and management of BSP Life PNG life insurance claims in accordance with the policy terms and conditions. Ensuring claim decisions are accurately updated in the insurance system (BLISP).
• Process claims within set turnaround time of 10 working days and Delegated Limited of Authority (DLA).
• Co-ordinate and manage enquires and complaints from Sales Units, Insurance Advisors, Insurance Brokers and Claimants.
• Effectively manage policyholder survival benefit payments, ensuring bank account details and customer due diligence is carried out before payable date.
• Liaise with medical providers, Chief Medical Officer and beneficiary to ensure smooth claims management process.
• Continuously review the business rules and processes to identify areas where additional efficiencies can be gained from systems that you have been allowed access to. Provide feedback and drive necessary changes for policy and process improvements.
• Maintains awareness of industry trends on regulatory compliance, emerging threats and technologies in order to understand the risk and better safeguard the company.
• Highlights any potential concerns /risks and proactively shares best risk management practices.
• Responsible for weekly and monthly claims reporting to Management.
• Manage complex cases and any life claims that are above DLA in consultation with internal teams.

• Diploma of Financial Services – Life Insurance (ANZIIF) or Tertiary Qualification in Business Studies or Management.
• 3-5 years of experience in a life insurance company or large organization in similar role with sound insurance knowledge.
• Comprehensive knowledge of medical terminology, anatomy, and common medical conditions, as well as an understanding of medical reports and laboratory tests.
• Strong analytical and critical-thinking skills, with the ability to evaluate complex medical information and make informed decisions.
• Sound judgment and decision-making abilities, with a focus on balancing risk assessment, policy coverage, and business objectives.
• Excellent communication and interpersonal skills, with the ability to effectively interact with medical professionals, internal teams, and claimants.
• Detail-oriented mindset, with exceptional accuracy and the ability to handle large volumes of information.
• Proficiency in using insurance software and tools, as well as computer skills to navigate relevant databases and systems.
• Familiarity with relevant laws, regulations, and compliance requirements specific to life insurance claims, and PNG insurance regulations.
• Comprehensive knowledge on policy terms and conditions, and life insurance product features.
• Self-reliant, highly motivated and resilient.
• Ability to work autonomously and deliver on deadlines.

If you think you have the appropriate skills and experience to perform this role, send your application and detailed CV to:

The Head of Talent Management, BSP People & Culture via email jobs@bsp.com.pg

Please contact us should you require additional information. Only shortlisted applicants will be contacted for interviews.