1. Claims Assessment & Decision Making
- Assess and approve personal accident claims accurately within established turnaround
- times, in line with policy provisions and authority limits.
- Evaluate medical, financial and supporting claim documentation, ensuring appropriate
- claim decisions and reserve adequacy.
- Manage claim investigations, including clarification with medical institutions, policyholders,
- and internal stakeholders.
- Review of pending claims to ensure timely resolution and proper closure.
- Identify claim patterns and unusual or inappropriate practices and recommend
- improvements to strengthen claims controls and streamline claim processes.
2. Stakeholder & Customer Engagement
- Collaborate with medical institutions, policyholders, and internal stakeholders to gather
- and clarify clinical information or outstanding requirements.
- Deliver high standards of customer service and strengthen relationships with customers
- and distribution channels.
3. Delivery of Service Excellence
- Provide clear, empathetic communication timely to policyholders, claimants and agents
- medical professionals, and internal stakeholders, making the claims process smooth and
- transparent.
Requirements
- Minimum Diploma or Degree in any discipline
- Preferably with 2 to 3 years of relevant claims administration experience from insurance industry
Interested candidates please send in your resume to:
Topaz Liang Huimin (CEI No. R1104500), email to: [Confidential Information]
EA License No: 99C4599
