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CLAIM INVESTIGATOR STAFF

Job Description

POSITION PURPOSE

  • To investigate insurance claims, collect related info and documents in South/North/Central provinces under the close direction of Head of Claims.

PRINCIPAL ACCOUNTABILITIES

  • Investigate and collect related info of claim cases in South and HCM city areas, assigned by Claim Head and follow the instruction from Claim department in Head office. To report on time and in details to provide efficiency in claim assessment and decision.
  • Record, archive and keep confidentially all pieces of claims’ and customers’ info in a proper manner.
  • Handle other tasks as assigned by Head of Claims.

Job Requirement

JOB SPECIFICATION

  • University graduation.
  • Basic knowledge of law, medical, insurance.
  • Having experience in social relationship.

WORKING RELATIONSHIPS and SKILL REQUIREMENTS

  • Building good relationship with hospitals, local government office, colleague from other life insurance companies.
  • Maintain good relationship with sales force and other staff.
  • Communicate clearly, politely, professionally with relevant bodies.
  • Keep information and documents of claim and customer’s info in secret and within tasks assigned.
  • Maintain good helpful relationship with claimants and diplomatically deal with difficult claims, ensuring the maintenance of the company’s reputation.
  • Filing documents and data of claim cases and parties involved in good manner in order to easy access and refer to when requested.
  • To share experiences with colleague within department.

CHALLENGES :

  • Ensure that all claims are handled with agreed service standards.
  • Ensure that clear and timely communications are made to sales force about the proceeding of their customers’ claims.
  • Make sure the work done is customer – focused.
  • Work under high pressure.

 

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