Responsibilities
Performance Management – Achieve operational goals and key performance indicators that are aligned to the organisation’s overall strategic objectives.
Operation Management – Implement the approving guidelines to ensure that claims are supported with documents, payments to claimants are timely and accurate and in accordance with stipulated policies and guidelines.
Customer Service – Execute the customer service support initiatives to deliver a highly professional standard of service to customers. Contact customers for more information and documents, where necessary and provide interim replies for applications, which are still under review.
Claim Approval – Exercise judgment and approve claims to ensure fair compensation. Surface cases to management for advice/approval where necessary.
Consolidation of Reports – Update and group the reports in accordance to the various schemes, namely claims/benefits/appeals and refund cases daily for monitoring and tracking and for management’s use.
Claims Consultancy – Provide guidance to the customers/claimants on complex claims & deviation cases regularly to ensure consistency, fairness and prudence in decisions made.
Customer Communication – Execute the communication programs to shape the behaviour of customers/claimants.
Process Review – Suggest and propose enhancements where applicable, so as to streamline and implement solutions for operational efficiency and effectiveness.
Job Specifications
Diploma Holder in any discipline
Minimum two years of working experience (preferably) in processing claims/benefits/appeals and refund cases
Entry level candidate may apply
Good verbal and written communication and interpersonal skills
Basic Computer Knowledge (Microsoft Excel and Words)
Must uphold strong code of work ethics, in particular confidentiality of information
Detailed/Meticulous/Organised/self-motivated and result-oriented individual
