An established financial organisation is seeking an experienced manager to oversee the insurance claims operations. 

Mandatory Skill(s)

  • Degree or diploma with at least 3 years of claims experience and experience in claims investigation;
  • Strong analytical, written and communication skills;
  • Customer-centric in dealing with agents and claimants;
  • Meticulous and detailed in work assigned;
  • Adaptable and able to work independently and under stress.

Desirable Skill(s)

  • Has working experience in the insurance claim operations.

Responsibilities

  • Responsible for assessment on request for Pre-Admission Certification and issuance of Letter Of Guarantee (LOG);
  • Handle investigation of any over-charging case by panel specialists and medical providers;
  • Handle appeal and complaint cases related to insurance claim;
  • Provide continuous support to maintain the panel specialists;
  • Oversees and provide training to third party administrator on Pre-Admission Certification assessment;
  • Service agents and claimants on enquiries relating to Pre-Admission Certification process;
  • Conduct training to internal Claim processing staff on related process; 
  • Participate in improvement projects. 
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