Lead Claims Adjudicator

While we appreciate all applicants, only applications received via Sagicor's career portal https://career4.successfactors.com/career?company=sagicorfinP2 will be considered.

"Looking for a diverse and rewarding career? If you're looking to grow your career within a stable and growing financial services company, then Sagicor may be right for you!"

Sagicor Life Jamaica Limited is seeking a suitable candidate to join our Insurance Operation Services- Claims Management team in the capacity of:

Lead Claims Adjudicator

(Grade 3)

Assist with resolving operational and team-related issues to support the efficient and accurate processing of claims.

Work with team and Unit Management to identify areas for improvement within Claims adjudication processes, procedures and service standards, and assist with implementing improvement initiatives as required.

Review claims and disbursement documentation for accuracy and compliance with company policies and regulatory requirements.

Train, provide performance feedback for, and encourage team members to develop strong client relationships.

Location: Kingston

As a Lead Claims Adjudicator, you will:

• Guide, mentor and coach direct reports to ensure assignments are completed and unit targets achieved.
• Identify training needs, conduct training as assigned, and recommend professional development programmes.
• Monitor, review and adjudicate claims within prescribed limits ensuring accurate and efficient processing, assessments and settlements.
• Review and process death, disability and dismemberment claims and approve claims and cheque requisitions within prescribed limits.
• Monitor activities within team to ensure prompt and effective communication with claimants, addressing inquiries and concerns in line with company policy and service level standards.
• Foster and encourage team to build, strong relationships with customers and key stakeholders, such as insurance agents, brokers, and service providers.
• Monitor claims processing activities within team and guide team staff to maintain payment standards and compliance in accordance with unit/divisional targets, corporate goals, company policies, procedures, standards of service, and other relevant regulatory requirements and business laws.
• Continuously monitor claims processing to ensure compliance with company policies, standards of service, procedures and relevant business legislation, healthcare and other relevant regulatory requirements; consult with Unit Management and recommend changes to processes and procedures to drive effective claims adjudication.
• Contribute to the development and execution of claims handling and processing strategies to align Unit work and team performance to overall company strategy, goals and objectives.
• Prepare and submit reports monthly.
• Perform other related duties assigned from time to time.

What do you need?

• Bachelor’s Degree in Business Administration, Management Studies, Client Service Management or an equivalent qualification from a recognised tertiary institution.
• Three (3) years’ working experience with at least one (1) year spent at the supervisory level in the finance industry, preferably the operations division of a life or health insurance company.
• Life Office Management Association’s (LOMA) Associate Customer Service (ACS) would be an asset.
• Associate in Claims (AIC) designation would be an asset.
• Supervisory or Management training is highly desirable.
• Excellent attitude to client service and teamwork.
• Proficiency in CAPSIL software, and other business tools, including word processing and spreadsheet applications; proficiency claims management software and tools would be an asset.
• Working knowledge of fraud detection/prevention practices.
• Excellent supervisory skills and sound knowledge of industrial relations.
• Sound knowledge of insurance products, processes, procedures and industry best practices.
• Sound knowledge of policy provisions and laws governing Life Insurance contracts.
• Knowledge of Reinsurance Underwriting.
• Excellent verbal and written communication and listening skills, with the ability to communicate complex information clearly and persuasively.
• Strong problem-solving and decision-making skills.
• High level of integrity.
• Ability to handle customer complaints and resolve issues effectively.
• Ability to work on own initiative.
• Working knowledge of basic accounting principles.
• Working knowledge of local Data Privacy Acts.

If this role is of interest to you, kindly submit an application via Sagicor's career portal no later than January 9, 2026.

While we appreciate all applications, only shortlisted candidates will be contacted.