Non-Medical Claims, Analyst

About the Role Process incontestable and contestable major claims in individual life policies

Position Objectives :

To ensure that the administration of Major Claims constantly meet the department goals that aligns and contributes to the Corporate Strategy.

Roles and Responsibilities :

Process and settle incontestable and contestable major claims (e.g. Critical Illness, Total and Permanent Disability, Dismemberment, Death claims) within TAT and in compliance with procedure and guidelines.

Review pending cases every month and reduce pend ratio on the agreed goal set.

OPAT savings – To monitor the close file review and ensure timely provision reversal. Achieve less than 0.25% error rate from QC sampling size and 0% error recurrence.

Meeting claims productivity and benchmark within authority limit, with high expectations and accuracy.

Attend to enquiries / emails promptly and satisfactorily. Other Functions – Suspense management – suspense is cleared within 5 days.

Perform other responsibilities, duties, projects, special assignments periodically assigned by supervisor in order to meet operational and / or other requirements.

Minimum Job Requirements :

Bachelor's degree holder or equivalent.

Minimum 5 years working experience in insurance industry.

Independent and self-starter.

Customer service oriented, positive attitude and good interpersonal skills

Spoken and written in both English and Malay language.

Good Knowledge in claims assessments, FSA 2013 and technical skills.

Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.

You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.

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