Claim Manager
6 months ago
**Job Profile Description**
- Understand Life, Health and PA insurance and able to give advice to clients, claimants, policyholders, brokers and other experts on claim perspective.
- Reviews and understands incoming documentation and new claims notifications.
- Able to advice on documents required to ensure all documents are collected at once in order to submit the claims properly within timely manner.
- Identifies which policies or parts of the coverage that may be effected by incoming claims, seeks validation where necessary, and advice where uncertain or clarification required to ensure the proper protocol is followed.
- Determines coverage for incoming claims through use of client’s knowledge of the policies as well as communicating with Underwriters Insurers to help their clients manage their incoming claims and ensure that claim management processes adheres to established standards.
- Communicates with clients, colleagues, third parties or insurers on an ad hoc basis to receive status updates, information requests, instructions or query resolution; may also provide advice to clients on common claims topics.
- Generates and supplements claims reports to ensure accurate records are produced and distributed.
- Facilitates collection from insurers on claims and tracks the different parts of claims being paid for various claims settlements in order to keep orderly record of ongoing work.
- Ensure that all claims are registered and completed in agreed SLA with good service quality.
**Knowledge and skills**
- At least 5 years of relevant experience in claim services management positions in broking industry/ insurer
- Good knowledge of Life, Health and PA insurance business operations.
- Highly motivated team player with strong interpersonal skills
- A proven track record of technical ability, claim operation and stakeholder management.
- Stakeholder management skills up to and including senior executive level
- Excellent communication skills both written and verbal and presentation skills.
- Good command in English.
- Good analytical skills with skill on MS Office especially MS Excel.
- Good time management with job prioritization.
- Strong sense of urgency with excellent service mind.
- Able to work under pressure.
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