Requirements
- Diploma/Bachelor’s degree or equivalent experience
- ACII or equivalent discipline or professional qualifications in General Insurance
- At least 3 to 5 years of operational experience in general insurance
- Resourceful, self-driven and able to perform effectively in a dynamic and fast paced environment
- Strong people manager, demonstrate initiative, communication, ability to manage a team.
- Possess analytical capability in handling claims
- Good problem solver and able to bring issues to resolution proactively
Job Descriptions
Claims Management
- Manage Motor Own Damage claims, Third Party Property and Bodily injuries claims, Excess / Subrogation / XOL recovery claims and ensure accurate, efficient and prompt claims processing within the stipulated turnaround time.
- Manage key claims handling enquiry; coverage determination, quantum analysis and legal liability assessment, where appropriate within authority limits, in accordance to written procedure/ targets, and providing a consistently strong standard of customer service.
- Aggressive control and negotiate the resolution of claims to achieve cost-effective claims outcomes within authorized amounts or specific file authority to produce appropriate outcomes.
- Interpret the insurance contract and apply to the exposures presented with each assigned claim.
- Ensure effective and strong vendor management and controls.
- Effective and aggressive litigation management and controls on high value complex claims in consultation with head of department.
- Strive for continuous improvement on claim file handling with feedback on support through the review processes.
- Contribute to maintenance of best practices procedures for intermediate to high value complex claims, consistent with global best practice.
- Ensure accurate and timely updating of case reserves in accordance to written procedure.
- Conduct on time file review and ensure accuracy and adequacy of claims reserves in system.
- Demonstrate a strong standard of competence in handling simple to intermediate complex claims.
- Contribute to projects and planning surrounding departmental initiatives to meet strategy objectives.
Processes/ Strategies
- Continuous assessment and review of policies and processes in claims handling to control fraud and claims leakages, and enhance our efficiency and competitive advantage
- Propose claims containment measures and strategies to control overall claim cost
- Review existing work processes to streamline and improve operational efficiency and productivity
- Manage the entire claims handling process, working independently, and through special projects
- Contribute to projects and planning surrounding departmental initiatives to meet strategy objectives.
- Study claims history and highlight to Superior on any abnormalities.
