Role Overview:
The role involves assessing and approving claims in accordance with company guidelines, monitoring daily operations to ensure efficient claims processing, and meeting service turnaround times.
Key Responsibilities:
- Evaluate and approve claims according to company policies.
- Oversee daily operations of claims investigations to ensure efficient processing.
- Meet turnaround times and achieve service level agreements (SLAs) for claims.
- Address inquiries from the distribution, customer service, and complaint teams.
- Contribute to workflow reviews and implement ongoing improvements in the claims process.
- Prepare regular management reports detailing claims activities.
- Conduct training sessions to enhance the skills of colleagues and third-party administrators (TPAs).
Key requirements:
- University graduate or above with FLMI qualification or equivalent
- Experience in medical / life claims
- Good command of both written and spoken English and Chinese
