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.