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Claims System Specialist

Salary undisclosed

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Job Summary

  • Responsible for Claims operational support, business process analysis and other responsibilities / duties periodically assigned by supervisor to meet operational and/or other requirements.
  • Manage claims related projects based on business needs and requirements i.e regulatory, improve customer experience, system enhancement related to products or improve efficiency of the team.
  • Monitor system related issues and follow through with IT team until resolution.

Job Functions

  • Participate in system enhancement, process improvement and digital projects. Role and Responsibilities including:
  • Liaise and coordinate with superior and IT /Stakeholders.
  • Participate in project meeting.
  • Prepare system/business requirement and business process review.
  • Perform User Acceptance Testing (UAT)
  • Prepare test script.
  • Prepare sign off document from stakeholder.
  • Prepare implementation sign off document.
  • Assist superior to monitor the result.
  • Perform all activities achieved the reasonable quality, performance and within the agreed timeline given.
  • Review and recommend measure to improve the existing process and system.
  • Perform data analysis and presentation to support business decision.
  • Responsible to perform Quality Check or sampling review as per Quality Assurance Framework. Update the report to management on monthly basis.
  • Establish and update guidelines, working instructions and standard operating procedures.
  • Ensure that timeline and objectives as agreed with superior for any other assignments / projects that may be assigned are met or exceeded.
  • Assist superior in developing project plan to be shared with all stakeholders (for Claims projects).
  • Coordinate and maintain relationship with internal stakeholders and third parties/ vendors for the execution of projects.
  • Assist superior in resources allocation for the projects i.e delegate tasks to team members.
  • Manage changes to the project scope and project schedule, as necessary.
  • Monitor and track progress of the projects as well as ensure delivery of the project timely or escalate to management for any roadblock that may affect the timeline.
  • Track project performance specifically analyze the successful completion of short and long-term goals.

Job Qualifications

Education : Degree with relevant experience

Experience: Minimum 5 to 10 years working experience in Insurance Industry

Key Skills/ Knowledge:

  • Good communication skill –verbal and written
  • Analytical skill
  • Ability to produce high quality work under pressure and right attitude for work
  • Good problem solving skill
  • Leadership skill
  • Good in time management
  • Willingness to learn and apply
  • Detailed oriented
  • Good team work
  • Good in Excel and Data Analysis
  • Sound processing knowledge
  • Sound product knowledge
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