Executive, Claims (Accident & Health)
Salary undisclosed
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Responsibilities
- Handle, process and recommend settlement of claims in accordance with policy contract, company policy and procedures.
- Provide quality, prompt and efficient claims service to meet Customer satisfaction.
- Review/follow up on all outstanding claims on regular basis to ensure claims reserve are adequate and status updated. Maintain a low pending ratio of outstanding claims (prompt disposal of claims to reduce number of outstanding claims).
- Assist superior to handle major large losses / event losses / complicated / litigated claims i.e. preparation of Major Loss Advice (MLR), preliminary loss / development and settlement loss / cash calls advice to co/reinsurers on timely manner. Keep Reinsurance and Finance advised of any material claims as set in the claim manual / procedures and work with Reinsurance to effect recoveries.
- Keep ratio of outstanding claims at healthy level.
- Highlight to supervisors and/or HODs of any deficiency in policy coverage and adverse claims trends to facilitate corrective and appropriate action.
- Participate in:-
- Reviewing and implementing of workflows and best practices in business processes.
- UAT on new products, system enhancements etc.
- Initiatives, project and assignments as and when the need arises.
- Minimum Degreeor Professional Qualification in Insurance.
- Preferably with minimum 1 year experience in Accident and Health claims.
- Computer skills i.e. Word and Excel.
- Effective written and communication skills.
- Strong analytical skills and business acumen.
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