Position Objectives:
- To ensure that the administration of Major Claims constantly meet the department goals that aligns and contributes to the Corporate Strategy.
Roles and Responsibilities:
- Process and settle incontestable and contestable major claims (e.g. Critical Illness, Total and Permanent Disability, Dismemberment, Death claims) within TAT and in compliance with procedure and guidelines.
- Review pending cases every month and reduce pend ratio on the agreed goal set.
- OPAT savings To monitor on the close file review and ensure timely provision reversal. Achieve less than 0.25% error rate from QC sampling size and 0% error recurrence.
- Meeting claims productivity and benchmark within authority limit, with high expectations and accuracy.
- Attend to enquiries / emails promptly and satisfactory. Other Functions Suspense management suspense is cleared within 5 days.
- Perform other responsibilities, duties, projects, special assignments periodically assigned by supervisor in order to meet operational and/or other requirements.
Minimum Job Requirements:
- Bachelor's degree holder or equivalent.
- Minimum 5 years working experience in insurance industry.
- Independent and self-starter.
- Customer service oriented, positive attitude and good interpersonal skills
- Spoken and written in both English and Malay language.
- Good Knowledge in claims assessments, FSA 2013 and technical skills.
