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(Sr). Executive - Claims

Job Description

The main purpose of this position is to complete the specific tasks relating to Claims in Operations Division as assigned by Head of Claims from time to time. 

1. Ensuring the following area functions run well, under control:

  • Effectively manage the claims administration to ensure that claims settlements are handled promptly and correctly.
  • Investigate doubtful claims where necessary.
  • Maintain a good helpful relationship with claimants and diplomatically deal with difficult claims ensuring the maintenance of the company’s reputation.
  • Maintain a good claim record experience for the company. Co-ordinate and share actual experiences with the underwriting team to improve underwriting process from new business.
  • Actively contribute to the development of the Ingenium system. Mastering in using Ingenium and other Claims Supporting Systems

2. Recommend to Head of Claims initiatives in improving the Claims efficiency and quality of services.

3. Ensure the implementation of Claims memos, regulations and guidelines of the company, within the set timeframe and standards.

4. Solve complaints related to Claims services provided to policy holders, Claimants.

5. Handle other tasks as requested by Head of Claims

 

Job Requirement

Qualification

University graduated.

Experience

At least 2 years of experiences in Claims sector and have working experience good relations in insurance industry, police/legal bodies and medical facilities.

Knowledge

Good communication.

Good English communication.

Basic knowledge of insurance, law and medical.

Soft skill

Communication and training.

Proficient in MS Office. Master other advances technology preferred.

Personality

Dynamic and open minded. Customer service minded with strong common sense. High sense of integrity and responsibility.

WORKING RELATIONSHIPS

Internal Interface

  • Report directly to Head of Claims
  • Co- ordinate with other sections of OP to process daily activities.

External Interface

  • Customer service team, sales team.
  • Policy holders, Claimants.
  • Hospital, Local authority.

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