Senior Executive, Claims (Group & Individual Medical)
Responsibilities
- Manage claims and cashless applications efficiently and in accordance with company guidelines, policy terms, claims instructions and procedures
- Ensure all new claims are registered properly and promptly
- Set and monitor reserve adequately and timely and ensure the authority levels laid down are complied with
- Evaluate policy liabilities, verify quantum and recommend settlement in accordance with Company's underwriting/claims policy and reinsurance practice
- Keep close monitoring on development of claims files and take appropriate follow-up actions
- Manage key accounts with professionalism and build trusted relationships through proactive communication and claims support
- Handle call and email claims enquiries arising from customers
- Deliver professional and extraordinary service to enhance customer satisfaction and uphold the company's service standards
- Liaise with external service providers including loss adjusters, medical providers, and medical experts to ensure timely and effective claims handling
- Assist Team Manager to complete an ad-hoc tasks and projects to achieve desired results of business needs.
Full Time
Urgently hiring
Requirements
- Degree holder, preferably with progress in professional insurance examinations
- Minimum 5 years of experience in Group or Individual Medical claims handling, experience with Personal Accident, Pet and Helper claims is an advantage.
- Excellent customer services, negotiation and communication skills
- Self-motivated, customer–oriented, willing to take up responsibility and a good team player
- Able to work independently under pressure, adapt to changes and deal with difficult situations in a friendly manner
- Good command of written and spoken English and Chinese
- Proficiency in MS Office
Additional information
Personal data collected will be used for recruitment purpose only and all applications will be treated in strict confidential. Unsuccessful applications will be destroyed after 12 months.
