Claims Officer

In this position you will....

will be involved in medical claims by determining insurance coverage; examining and resolving medical claims; complete documentation; maintaining quality customer services and ensuring legal compliance.

 You will be responsible for…

• Manage, develop and lead the team to achieve the targeted KPI.


• Monitor and manage claim activities to ensure delivered service as commitment.


• Build-up SLA and KPI, measure performance for the team, conduct performance reviews and provide input into discussions around individual performance.


• Scrutinize claims processed by Claims executives for accuracy and efficiency. 


• Ensure SOPs are followed by all executives and process compliance is optimal.


• Analyze and deep dive in complaints to not only give out solutions but also keep brand name of the client and the company


• Conduct coach session/ training to improve and enhance CA’s knowledge.


• Provide Activity Report as Team performance report daily, weekly and monthly bases.

 For you to be successful…

We expect you to be able to demonstrate the following key competencies 

Curious

• Motivated and self-directed, identifying opportunities to grow and acquire new knowledge from a range of sources.  Has a sound comprehension of relevant multi-discipline areas of expertise.


• 
  

  Demonstrates reflection and solicits feedback from others. Evaluates and learns from set-backs and adversity.

  
  

   

Communication

• Effective and articulate communicator actively and respectfully listens to and synthesizes others’ perspectives.


• 
  

  Concise in communicating and references relevant information tailored to the audience to support points.

  
  

   

Collaborative

• Inclusive, empathetic and encourages and facilitates other team members to unite and deliver positive results.


• Develops strategic relationships and networks across the organization and shares with others for mutual benefit.

Adaptable

• Is quick to adapt approach and act flexibly in response to changes in the strategic and/or operational direction of the organization.


• Modifies style and leverages different approaches depending on different situations and circumstances.

 You will require the following qualifications and skills                                                                                                               

• Graduation in any stream or ITI or Diploma in Mobile Repair or related field.


• 5 - 8 years of relevant experience in Insurance industry or any brand repair center


• Experience in claim processing.


• Backend operation experience (Insurance, Banking & Finance)


• Team handling experience.


• Possess good leadership, achieve cooperation and collaboration among all functions.


• Good communication and interpersonal skills


• Good verbal and written communication skills in English.


• Customer-centric mindset are advantageous.


• Highly motivated and able to work independently.