Ensuring life claim benefits are adjudicated according to policy wordings and within the claim authority limit.
Continuously exploring ways to improve productivity and customer service through process automation and work with transformation squads to provide business requirements.
Provide claims statistics and reporting timely.
Comply with regulatory and risk management controls, corporate policies, procedure and claims guidelines.
Conduct claims technical workshops for financial advisers.
Manage external parties as part of claims process such as medical providers, law firms, auditors, regulatory bodies, financial advisers.
Support any day-to-day administrative tasks as required.
Ensure compliance with all applicable laws and regulations relating to the above functional activities.
Back up claim analyst for answering email from group claim (confirmation documents and checking to hospitals).
The Requirements
Minimum Diploma Degree with minimum 7 years working experiences or Bachelor's Degree with minimum 5 years working experiences, major in public health or life insurance claim or equivalent
Minimum 7 years of experience in life insurance claim.
Having network in local Claim community and hospitals
Familiar with how the insurance claims fraternity conducts investigations.
Implementation of any claims automation solution(s)
