Executive, Claims

Executive, Claims Job Description Template

Our company is looking for a Executive, Claims to join our team.

Responsibilities:

  • Continuously attend and involve with training for personal and career development;
  • Ensure and monitor claims processing to be within the department benchmark and turnaround time;
  • Closely follow up on outstanding cases;
  • Ensure claims appeal, referral or complaint from any parties are attended to and respond within the benchmark set by the department;
  • Adhering to the claims workflow in relation to Accident and Hospitalization claims procedure;
  • Undertake projects or any other work and duties allocated by the Management or involve in Claims Department matters, as and when required;
  • Record, update, review, prepare and submission of statistics or reports, as required by the Management within the agreed service standards;
  • Assess and provide justifiable claims according to policy terms and conditions, within the department benchmark, turnaround time and authority limit;
  • Conduct internal & external training in claims related matters, as and when required.

Requirements:

  • Bilingual;
  • Good in Customer Service;
  • 1 – 3 years financial/Insurance/call centre experience (Short term industry);
  • Computer Literate;
  • Grade 11;
  • Excellent communication skills;
  • FSCA approved full qualifications;
  • Roc/tial/system a;
  • RE5 examination completed successfully;
  • Knowledge of Sort term insurance industry/policy wording/Assessor reports/insurance principals.