Job Description
The Job:
- Determine policy coverage, establish proof of loss with proper documentation and provide accurate and timely assessment of accident and health claims within the required service standards and ensure that claims are paid accurately and promptly.
- Seek clarifications and liaise with medical institutions and policyholders on outstanding requirements.
- Deliver excellent service and enhance customer and distribution channels relationship management.
- Attend to claims enquiries.
- Suggest and participate in process improvement projects/ initiatives/ system enhancement, including establish claims best practices.
- 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.
- Diploma or Degree or Professional Insurance Certificate with at least 1 year of rel...
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