Job scopes
- Handle all the tasks related to life claims admin matters including but not limited to, assignment of daily manual claim and letter preparation.
- Data entry & maintain proper filing and documentation of life claim documents and files.
- Help with the creation, maintenance, and updating of the life claim register.
- Follow-up of medical report requests, other supporting documents with medical providers, policyholders, and agents.
- Perform outbound calls and attend to simple enquires from medical providers and distribution channels from department's shared mailbox/CRM platform e.g., Salesforce.
- Undertake internal audits (Life claims) to ensure the company meets its financial, operational and compliance objectives.
- Identifies control issues that do not comply with the established operation procedures and guidelines.
- Handles control and remediation work within Claims Department to ensure compliance with internal claims SOP, regulatory requirements, and policies.
- Update claims SOP to reflect latest changes to claims guidelines.
- Conduct daily/monthly claims quality assurance checks to ensure that claims are processed based on the KPI and claims SOP and put in place corrective and preventive measures.
- Work as a team and provide support to the department when colleagues are on leave, on course or on medical leave.
- Other tasks assigned by HOD/Supervisor(s) as and when required.
Job requirement
- Diploma/Degree in any related field.
- Around 2 to 4 years of working experience in life insurance company.
- Familiar with Life insurance processes and good insurance knowledge.
- Good interpersonal skills to effectively communicate with all stakeholders.
- Good written and oral skills.
- Ability to adapt to changes quickly and have a positive mindset.
- Customer-centric and meticulous with the ability to work under pressure.
Cristina Malabuyoc Malijan EA License No. 02C3423 Personnel Registration No. R1111547
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