Job description

Requirements

  • Entry level
  • No Education
  • Salary to negotiate
  • Cyberjaya

Description

Specialist - HK Life ClaimsJob Summary

- Provides high-quality claims services in authorized claims transactions for Major Claims (Death, Critical Illness, TPD and Payor Benefit) within the required benchmarks and in line with the Company and department goals.
- Register, reserve, assess, review, investigate, approve and process payment for Major claims within own Claims Approval Authority and recommend to higher level for claims above authority.
- Register, reserve, assess, review, investigate, approve and process payment Minor Claims (AI and HS) that come together with the Major Claims during claims submission.
- Provide support in building and developing complete skill sets for Major Claims Assessors
- Staff Engagement


Key Responsibilities

- Register, reserve, assess, review, investigate, approve and process payment for Major claims within own Claims Approval Authority and recommend to higher level for claims above authority.
- Register, reserve, assess, review, investigate, approve and process payment Minor Claims (AI and HS) that is submitted along with Major Claims.
- Ensure meeting individual quality, turnaround time and productivity benchmark
- Train all new joiners on product knowledge, claims assessment skills within established standard and guidelines (including Review and Feedback for On-The-Job training cases)
- Provide training / coaching for current and new hires for the use of system and assessment skills, towards certification with Claims Approval Authority, as stipulated in the Claims Approval Authority guidelines.
- Assist in data analysis for purpose of reporting and trends analysis
- Performs other responsibilities periodically assigned by immediate manager to meet business requirements
- Involve in team engagement activities to foster closer team spirit and create work life balance environment.


Job Requirement:

Education:

- University or college graduate holding appropriate professional qualification (preferably Degree in Bio Medical Science/ Bioscience/ Biology and equivalent)
- At least 3 years working experience with 2 years related experience in claims.


Experience:

- Good communications and presentation skills.
- Self-motivated and customer oriented.
- Sound problem solving.
- Good time management skills.
- Proficient in Microsoft Office.


Specific Business Knowledge:

- Sound knowledge of Accident & Hospitalisation claims.
- Experience in Life insurance will be an added advantage
- Proficient in both spoken and written of Chinese and English


Job Segment: Scientific, Data Analyst, Engineering, Data

  • economists and finance