We’re looking for a candidate to fill this position in an exciting company.
Handling insurance claims assessment under the accident and health plans.
Determine policy coverage, establish proof of loss with proper documentation and provide accurate and timely assessment of accident and health claims within the required service standards and ensure that claims are paid accurately and promptly
Seek clarifications and liaise with medical institutions and policyholders on outstanding requirements
Deliver excellent service and enhance customer and distribution channels relationship management
Attend to claims enquiries
Suggest and participate in process improvement projects/ initiatives/ system enhancement, including establish claims best practices
Ensure compliance with internal and external regulatory and legal matter.
Conduct review of pending claim to ensure reserve adequacy and closure of claims in a timely manner