11 March 2021

Our client in the insurance sector is seeking an experienced Claims Associate to assist in the processing of their health claims.

Mandatory Skill(s)

  • Minimum 1 year experience in handling Health Insurance / Medical claims;
  • Diploma / Degree / Professional Certification in Insurance;
  • Strong analytical, written and communication skills;
  • Customer-centric and meticulous with the ability to work under pressure;
  • A team player.

Desirable Skill(s)

  • Prior experience in Life Claims.

Responsibilities

  • Determine policy coverage, gather proof of loss with proper documentation and provide accurate and timely assessment of accident and health claims within the required standards and promptly;
  • Liaise with medical institutions and policyholders on outstanding requirements and seek clarifications if needed;
  • Maintain good customer service and enhance good relationship with customers and distributed channels;
  • Support claims enquires;
  • Participate and give suggestions in process improvement projects/ initiatives/ system enhancement;
  • Ensure compliance with internal and external regulatory and legal matter;
  • Conduct review of pending claim to ensure reserve adequacy and closure of claims in a timely manner.
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