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
