Job Description
The commercial claim specialist plays a pivotal role in managing and assessing workman injury claims. This position requires a seasoned professional with extensive expertise in the general insurance domain, particularly in the field of claim assessment.
Key Responsibilities
- Claims assessment: Utilize deep knowledge and experience in the general insurance space to meticulously assess, investigate, and evaluate workman injury compensation claims.
- Policy adherence: Ensure compliance with company policies, local regulations, and industry standards while handling and processing workman injury claim.
- Communication and coordination: Collaborate effectively with internal teams such as operation, finance and sales; external stakeholders which include distributors, loss adjustors, investigators, lawyers, medical experts; and claimants to facilitate seamless claim processing and resolution.
- Documentation and reporting: Maintain accurate records, prepare comprehensive reports, and document all stages of the claims process, ensuring clarity, transparency, and compliance.
- Negotiation and settlement: Negotiate effectively with stakeholders to reach fair and equitable settlements for workman injury claims, considering all relevant factors and legal precedents.
- Continuous improvement: Enhance claim handling procedures and contribute to the continuous improvement of claims management protocols by staying updated with industry trends, legal changes, and best practices.
- Market knowledge: Stay updated with market trends, regulatory trends and in particular, MOM WICA legislative changes.
- Customer experience: Deliver excellent service to claimants and distributors and ensure that customers have a positive claims experience.
Qualifications And Skills
- A minimum of 2 to 3 years of experience in assessing and managing workman injury compensation claims.
- Recognized diploma in any discipline.
- Possess CGI certificate.
- Profound understanding of workman injury compensation processes, Singapore regulations and relevant legal frameworks. Knowledge in medical claims will be preferred.
- Excellent verbal and written communication skills to interact with diverse stakeholders and convey complex information clearly and concisely.
- Meticulous attention to detail to ensure accuracy in claim assessment, documentation and reporting.
- Ability to adapt to changing environment, prioritize tasks efficiently, and handle a variety of tasks effectively.
- Good knowledge of MS Office software and any other technology applications.
