11 March 2021
Our client in the insurance sector is seeking an experienced Claims Associate to assist in the processing of their health claims.
- 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.
- Prior experience in Life Claims.
- 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.