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.

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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.

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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.