About this role
1. Claims Assessment & Decision Making • Assess and approve personal accident claims accurately within established turnaround • times, in line with policy provisions and authority limits. • Evaluate medical, financial and supporting claim documentation, ensuring appropriate • claim decisions and reserve adequacy. • Manage claim investigations, including clarification with medical institutions, policyholders, • and internal stakeholders. • Review of pending claims to ensure timely resolution and proper closure. • Identify claim patterns and unusual or inappropriate practices and recommend • improvements to strengthen claims controls and streamline claim processes. 2. Stakeholder & Customer Engagement • Collaborate with medical institutions, policyholders, and internal stakeholders to gather • and clarify clinical information or outstanding requirements. • Deliver high standards of customer service and strengthen relationships with customers • and distribution channels. 3. Delivery of Service Excellence • Provide clear, empathetic communication timely to policyholders, claimants and agents • medical professionals, and internal stakeholders, making the claims process smooth and • transparent. Requirements • Minimum Diploma or Degree in any discipline • Preferably with 2 to 3 years of relevant claims administration experience from insurance industry Interested candidates please send in your resume to: Topaz Liang Huimin (CEI No. R1104500), email to: west1@recruitexpress.com.sg EA License No: 99C4599
Required
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