Job Purpose
You will be handling insurance claims assessment under the accident and health plans. You will also be given the opportunity to be part of an exciting team with involvement in customer service initiatives and projects to improve the claims experience.
The Job
- Determine policy coverage, establish proof of loss with proper documentation and provide accurate and timely assessment of medical claims within the required service standards and ensure that claims are paid accurately and promptly
- Handle medical report cases and appeals
- 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 escalated 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
- Any other ad-hoc projects assigned by supervisor
- Take accountability in considering business and regulatory compliance risks and take appropriate steps to mitigate the risks
- Maintain awareness of industry trends on regulatory compliance, emerging threats and technologies in order to understand the risk and better safeguard the company
- Highlight any potential concerns/ risks and proactively share best risk management practices
Our Requirements
- Diploma, Degree or Professional Insurance Certificate with at least 3 years of relevant accident and health claims experience
- Prior experience in life and PA claims will be an added advantage
- Good medical knowledge and ability to explain medical conditions in insurance context
- Strong analytical, written and communication skills
- Customer-centric and meticulous with the ability to work under pressure
- A team player
- High level of integrity, take accountability of work and good attitude over teamwork
- Take initiative to improve current state of things and adaptable to embrace new changes
About Great Eastern
Established in 1908, Great Eastern places customers at the heart of everything we do. Our legacy extends beyond our products and services to our culture, which is defined by our core values and how we work. As champions of Integrity, Initiative and Involvement, our core values act as a compass, guiding and inspiring us to embrace the behaviours associated with each value, upholding our promise to our customers - to continue doing our best for them in a sustainable manner.
We work collaboratively with our stakeholders to look for candidates who exhibit or have the potential to embrace our core values and associated behaviours, as these are the key traits that we expect from our employees as they develop their careers with us.
We embrace inclusivity, giving all employees an equal opportunity to shine and play their role in exploring possibilities to deliver innovative insurance solutions.
Since 2018, Great Eastern has been a signatory to the United Nations (UN) Principles of Sustainable Insurance. Our sustainability approach around environmental, social, and governance (ESG) considerations play a key role in every business decision we make. We are committed to being a sustainability-driven company to achieve a low-carbon economy by managing the environmental footprint of our operations and incorporating ESG considerations in our investment portfolios; improving people’s lives by actively helping customers live healthier, better and longer; and drive responsible business practices through material ESG risk management.
To all recruitment agencies: Great Eastern does not accept unsolicited agency resumes. Please do not forward resumes to our email or our employees. We will not be responsible for any fees related to unsolicited resumes.
