Leverage available automation and AI-enabled tools to enhance assessment efficiency, consistency, and accuracy
Liaise with Medical Advisors to obtain clinical guidance and clarification where required, ensuring informed and well supported claim decisions.
Perform effective suspense management, follow up on outstanding requirements, and liaise with Finance and relevant stakeholders to ensure timely and accurate claim payments.
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Perform independent assessments on material hits to determine whether they warrant a trigger review.
Document screening outcomes and complete materiality assessments accurately and in compliance with internal standards.
Work efficiently under time pressure and manage a high volume of cases independently, ensuring all assigned tasks are completed within tight deadlines.
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Client Identification, Verification and Screening.
Information such as customer’s address, employment (including employer), connectivity to PEP/SPF (Sanctions Screening), will be validated and confirmed. These will be validated based on existing information available or through approved third party sites. Based on the results, enhanced due diligence checks will be performed which include negative news and social media checks.
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Escalate KYC deficiencies, missing information, or potential red flags to senior team members for further review and decision-making.
Maintain accurate records and ensure client data is correctly updated in internal systems in line with regulatory standards.
Provide administrative and operational support to the team while actively contributing to process improvement initiatives aimed at increasing efficiency and quality.
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Escalate KYC deficiencies, missing information, or potential red flags to senior team members for further review and decision-making.
Maintain accurate records and ensure client data is correctly updated in internal systems in line with regulatory standards.
Provide administrative and operational support to the team while actively contributing to process improvement initiatives aimed at increasing efficiency and quality.
...
Escalate KYC deficiencies, missing information, or potential red flags to senior team members for further review and decision-making.
Maintain accurate records and ensure client data is correctly updated in internal systems in line with regulatory standards.
Provide administrative and operational support to the team while actively contributing to process improvement initiatives aimed at increasing efficiency and quality.
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